Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | A127302 | CA |
NPI | 1083980486 |
---|---|
Provider Name | Vinisha Garg |
First Address | Los Angeles, CA 90095-0001 |
Second Address | Loma Linda, CA 92354-2871 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2012 |
Last Update Date | 06/06/2019 |