MEDICARE: DR. REENA RAY GARG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	A176249	CA

General Provider Information

NPI Number	:	1427602911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REENA RAY GARG MD

Provider Business Mailing Address
First Line	:	2629 W 235TH ST APT A
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90505-4246
Country	:	US
Telephone Number	:	518-577-0270
Fax Number	:	323-541-1661

Provider Business Practice Location Address
First Line	:	3628 E IMPERIAL HWY STE 301
Second Line	:
City	:	LYNWOOD
State	:	CA
Zip	:	90262-2646
Country	:	US
Telephone Number	:	323-541-1411
Fax Number	:	323-541-1499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2019
Last Update Date	:	06/26/2026

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