Individual
DR. GANA MARIA MODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2055 KELLOGG AVE, CORONA, CA 92879-3111
(951) 898-7010
(951) 898-7178
Mailing address
2055 KELLOGG AVE, CORONA, CA 92879-3111
(951) 898-7010
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
A75413
CA
Other
Enumeration date
11/28/2006
Last updated
12/01/2021
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