# MOHINDER S NIJJAR MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Corp Mohinder S Nijjar MD Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700932084
- **Authorized official:** DR. MOHINDER NIJJAR MD (OWNER DBA)
- **Authorized official phone:** (209) 531-3600

## Contact information

- **Practice address:** 1400 FLORIDA AVE, SUITE 8, MODESTO, CA 95350-4446
- **Practice address phone:** (800) 245-7899
- **Practice address fax:** (209) 545-3355
- **Mailing address:** PO BOX 576568, MODESTO, CA 95357-6568
- **Mailing address phone:** (209) 531-3600
- **Mailing address fax:** (209) 545-3355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A36057 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A36057 | MEDICAL PRACTICE | CA |