Individual
VIJAY K GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 MACAW LN, SIMI VALLEY, CA 93065-3152
(805) 522-3811
(805) 522-2115
Mailing address
142 MACAW LN, SIMI VALLEY, CA 93065-3152
(805) 522-3811
(805) 522-2115
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A35932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A359320
—
CA
01
—
060004628
RAILROAD MEDICARE
—
Enumeration date
07/25/2006
Last updated
12/15/2011
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