Individual
DR. BRIAN DAVID MODENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MSC
Contact information
Practice address
9850 GENESEE AVE STE 710, LA JOLLA, CA 92037-1218
(858) 260-2977
(858) 260-2978
Mailing address
9850 GENESEE AVE STE 710, LA JOLLA, CA 92037-1218
(858) 260-2977
(858) 260-2978
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A103242
CA
207R00000X
Internal Medicine Physician
A103242
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
A103242
CA
Other
Enumeration date
03/03/2009
Last updated
04/09/2025
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