Organization
LATINOCARE PARTNERS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANAN MODI M.D. (PRESIDENT)
(323) 455-3675
Entity
Organization
Contact information
Practice address
1336 W WHITTIER BLVD, SUITE B, MONTEBELLO, CA 90640-4601
(323) 455-3995
Mailing address
4741 E CESAR E CHAVEZ AVE, SUITE B, LOS ANGELES, CA 90022-1209
(323) 455-3675
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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