Individual
JASVANT N MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 N ALVARADO ST, SUITE 112, LOS ANGELES, CA 90026-4076
(213) 999-7011
(213) 483-0047
Mailing address
711 N ALVARADO ST, SUITE 112, LOS ANGELES, CA 90026-4076
(213) 999-7011
(213) 483-0047
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A39818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A398180
—
CA
05
—
00A398181
—
CA
01
—
1518046432
NPI
CA
Enumeration date
11/02/2006
Last updated
12/04/2007
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