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Organization
SOLMAZ MODEER
Active
Organization
SOLMAZ MODEER
Active
Parent organization
WESTERN DIAGNOSTIC IMAGING CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN DIAGNOSTIC IMAGING CENTER
Authorized official
SOLMAZ MODEER ARRT(M)(F)(R) (OWNER/DIRECTOR)
(619) 409-6939
Entity
Organization
Contact information
Practice address
450 FOURTH AVE STE 300, CHULA VISTA, CA 91910-4429
(619) 409-6939
(619) 409-6949
Mailing address
PO BOX 504447, SAN DIEGO, CA 92150-4447
(858) 733-8997
(619) 409-6949
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
2471M2300X
Mammography Radiologic Technologist
—
—
291U00000X
Clinical Medical Laboratory
TG145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTF00430
—
CA
Enumeration date
04/01/2008
Last updated
08/20/2026
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