Individual
MS. SOLMAZ N/A MODEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT, RTM
Contact information
Practice address
1635 3RD AVE STE G, CHULA VISTA, CA 91911-5884
(619) 409-6939
(619) 409-6949
Mailing address
14795 CAMINITO ORENSE ESTE, SAN DIEGO, CA 92129-1532
(619) 409-6939
(619) 409-6949
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
CA
2471B0102X
Bone Densitometry Radiologic Technologist
—
CA
2471M2300X
Mammography Radiologic Technologist
RHM61604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232400
FDA MAMMOGRAPHY NUMBER
CA
05
—
IDTF00420
—
CA
05
—
IDTF00430
—
CA
Enumeration date
08/30/2006
Last updated
09/11/2025
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