Ladan Modallel in San Bernardino - Pediatrics
Ladan Modallel - NPI 1669633376
Ladan Modallel is a Pediatrics in San Bernardino, California. Ladan Modallel practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ladan Modallel is 1669633376. The last update date is 2023-03-07.
Ladan Modallel's current location address is 742 W Highland Ave, San Bernardino, California. You can contact this provider via phone number 9093861880 and fax number 9093861882. The mailing address for Ladan Modallel is 742 W Highland Ave, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ladan Modallel |
|---|---|
| Address | 742 W Highland Ave, San Bernardino, California |
| Phone Number | 9093861880 |
| Fax Number | 9093861882 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1669633376 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 742 W Highland Ave |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924053839 |
| Phone Number | 9093861880 |
| Fax Number | 9093861882 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 117285 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2122359 | WA | -- |
Post Comment/ Review Below
What is the Ladan Modallel's 1669633376?
The Ladan Modallel's NPI (National Provider Identifier) Number is 1669633376. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ladan Modallel?
The Ladan Modallel is situated at 742 W Highland Ave, in the city of San Bernardino, state of CA, with the zip code 924053839.
What is Ladan Modallel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ladan Modallel's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Ladan Modallel receive the assignment of its 1669633376 from the Centers for Medicare & Medicaid Services?
The Ladan Modallel was issued its 1669633376 by the Centers for Medicare & Medicaid Services on 2008-06-24.
As of what date was the information regarding Ladan Modallel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ladan Modallel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA