Individual
RISHI GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
289 W HUNTINGTON DR STE 103, ARCADIA, CA 91007-3492
(626) 821-0707
(626) 821-0239
Mailing address
PO BOX 90730, PASADENA, CA 91109-0730
(626) 821-0707
(626) 821-0239
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A90302
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A90302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164642583
—
CA
01
—
CB111X
MEDICARE
CA
01
—
P00941215
MEDICARE RAIL ROAD
CA
Enumeration date
04/26/2007
Last updated
10/04/2018
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