Kanan Modi Md Inc

LBN: Kanan Modi Md Inc
Kanan Modi Md Inc is an health care organization with primary practice located at 1305 W Arrow Hwy Ste 104 , San Dimas CA 91773-2337. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Kanan Modi Md Inc can be contacted via phone (909) 394-9004, or through Modi, Kanan via phone (909) 394-9004.

Contact Information

Primary practice address
1305 W Arrow Hwy Ste 104 San Dimas CA 91773-2337
Phone: (909) 394-9004
Fax: (909) 394-9461
Website:
Map and Directions
Authorized official contact:
Name: Modi, Kanan Doctor of Medicine (MD)
Phone: (909) 394-9004

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California

Profile Details

NPI number 1700210762
LBN Legal business name Kanan Modi Md Inc
DBA Doing business as
Authorized official Modi, Kanan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2013
Last updated Aug 27th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700210762 NPPES
California MEDICAID 1881704898

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