Organization
MODENA ALLERGY & ASTHMA II INC.
Active
Parent organization
MODENA ALLERGY & ASTHMA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODENA ALLERGY & ASTHMA, INC.
Authorized official
BRIAN DAVID MODENA MD, MSC (CEO & DIRECTOR)
(858) 260-2977
Entity
Organization
Contact information
Practice address
2067 W VISTA WAY STE 140, VISTA, CA 92083-6032
(760) 941-4444
(858) 332-1811
Mailing address
2067 W VISTA WAY STE 140, VISTA, CA 92083-6032
(760) 941-4444
(760) 941-8902
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207KA0200X
Allergy Physician
—
—
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
Other
Enumeration date
10/30/2025
Last updated
12/03/2025
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