Healthcare Provider Details

I. General information

NPI: 1831033067
Provider Name (Legal Business Name): GARG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N LA CIENEGA BLVD STE 110
BEVERLY HILLS CA
90211-2339
US

IV. Provider business mailing address

50 N LA CIENEGA BLVD STE 110
BEVERLY HILLS CA
90211-2339
US

V. Phone/Fax

Practice location:
  • Phone: 310-734-7680
  • Fax: 310-734-7690
Mailing address:
  • Phone: 310-734-7680
  • Fax: 310-734-7690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHU GARG
Title or Position: OWNER
Credential: MD
Phone: 310-734-7680