Individual
DR. KANAN MODI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1305 W ARROW HWY STE 104, SAN DIMAS, CA 91773-2337
(909) 967-7826
(909) 394-9461
Mailing address
1305 W ARROW HWY, 104, SAN DIMAS, CA 91773-2336
(909) 394-9004
(909) 394-9461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A38793
CA
208000000X
Pediatrics Physician
Primary
A38793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A387930
—
CA
01
—
A38793
STATE LICENSE
CA
Enumeration date
08/30/2006
Last updated
02/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us