| Doctor Name: | BRUCE HARRY GARBETT |
| NPI Number: | 1659599173 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A.C. |
| License Number: | CA11636 |
| Business Practice Address: | 24331 El Toro Rd 330 Laguna Woods, CA - 926372752 |
| Business Phone Number: | 9497071870 |
| Business Fax Number: | 9497071874 |
| Mailing Address: | 2231 Pacific Ave, B-2 COSTA MESA |
| State: | CA |
| Postal Code: | 926274887 |
| Phone Number: | 9492751970 |
| Fax Number: | 9496459051 |
| NPI Enumeration Date: | 04/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | CA11636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |