Individual
DR. BIRAJ D. GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-7222
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-7222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A86216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A862160
BLUE SHIELD OF CA
—
05
—
00A862160
—
CA
01
—
F917
CHAMPUS
—
Enumeration date
05/13/2006
Last updated
11/07/2016
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