# MODERN THERAPIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Therapies LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598385866
- **Authorized official:** ZACHARY STEPHENS (OWNER)
- **Authorized official phone:** (510) 910-1959

## Contact information

- **Practice address:** 2870 4TH AVE APT 401, SAN DIEGO, CA 92103-6273
- **Practice address phone:** (510) 910-1959
- **Practice address fax:** (510) 910-1959
- **Mailing address:** 2870 4TH AVE APT 401, SAN DIEGO, CA 92103-6273
- **Mailing address phone:** (510) 910-1959
- **Mailing address fax:** (510) 910-1959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2020
- **Last updated:** 04/16/2020