Commons Clinic Affiliated Medical Group, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COMMONS CLINIC AFFILIATED MEDICAL GROUP, PC

Practice address

2080 Century Park E Ste 1204
Los Angeles, CA 90067-2015

Phone

(310) 595-1030

NPI assigned

Nov 29, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ruchira Garg, MD

Title

President

Phone

(310) 384-5853

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1962169789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 WILSHIRE BLVD STE 460",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034706",
            "telephone_number": "310-753-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672015",
            "telephone_number": "310-595-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13160 Mindanao Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902926393",
            "country_code": "US",
            "telephone_number": "415-687-1671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMONS CLINIC AFFILIATED MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "RUCHIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-384-5853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.