Individual
DR. MASOOM MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 VETERAN AVE, LOS ANGELES, CA 90024-2704
(310) 825-2572
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A118117
CA
207R00000X
Internal Medicine Physician
R71459
AZ
207RR0500X
Rheumatology Physician
Primary
A118117
CA
Other
Enumeration date
12/09/2009
Last updated
11/23/2015
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