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Organization
MODERN CONCEPTS MEDICAL GROUP, INC
Active
Organization
MODERN CONCEPTS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET HERRERA M.D. (PRESIDENT)
(323) 728-6070
Entity
Organization
Contact information
Practice address
1701 CESAR CHAVEZ AVE., 354, LOS ANGELES, CA 90033
(323) 728-6070
(323) 728-2912
Mailing address
PO BOX 640, MONTEBELLO, CA 90640-0640
(323) 728-6070
(323) 728-2912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0918755
CLIA WAIVER
CA
05
—
0925132
—
CA
01
—
1861415739
MD
CA
05
—
GR0084061
—
CA
Enumeration date
05/11/2007
Last updated
02/19/2026
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