Organization
VATSAL HAREN MODY M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VATSAL H MODY M.D. (OWNER)
(909) 477-3015
Entity
Organization
Contact information
Practice address
10832 LAUREL ST STE 101, RANCHO CUCAMONGA, CA 91730
(909) 477-3015
(909) 477-3016
Mailing address
10832 LAUREL ST STE 101, RANCHO CUCAMONGA, CA 91730
(909) 477-3015
(909) 477-3016
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
07/24/2012
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