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Organization

JASVANT N. MODI, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGIE SANCHEZ (MANAGER)
(213) 250-3716
Entity
Organization

Contact information

Practice address
711 N ALVARADO ST STE 112, LOS ANGELES, CA 90026-4016
(213) 483-3535
(213) 250-5682
Mailing address
1100 W SUNSET BLVD STE B, LOS ANGELES, CA 90012-1217
(213) 250-3716
(213) 250-5682

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A39818
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A398180
CA
Enumeration date
11/09/2009
Last updated
11/09/2009
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