Individual
OMEED MODIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 SANTA MONICA BLVD STE 1070, SANTA MONICA, CA 90404-2202
(310) 917-3376
(310) 582-6302
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A182940
CA
Other
Enumeration date
03/24/2021
Last updated
08/04/2025
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