# RAJAN GARG MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Santa Maria Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750831822
- **Authorized official:** RAJAN GARG MD (OWNER)
- **Authorized official phone:** (714) 953-6430

## Contact information

- **Practice address:** 1701 E MCFADDEN AVE, SUITE D, SANTA ANA, CA 92705
- **Practice address phone:** (714) 953-6430
- **Mailing address:** 1701 E MCFADDEN AVE, SUITE D, SANTA ANA, CA 92705-4647
- **Mailing address phone:** (714) 953-6430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A30390 | CA | Yes |

## Other

- **Enumeration date:** 10/12/2016
- **Last updated:** 09/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A134588 | MEDICAL LICENSE | CA |
| 01 | — | A30390 | MEDICAL BOARD OF CALIFORNIA | CA |
