Mody, Vatsal Haren

Mody, Vatsal Haren is an sole proprietor health care provider with primary practice located at 10832 Laurel St Ste 101 , Rancho Cucamonga CA 91730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mody, Vatsal Haren can be contacted via phone (909) 477-3015.

Contact Information

Primary practice address
10832 Laurel St Ste 101 Rancho Cucamonga CA 91730
Phone: (909) 477-3015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A56472 California

Profile Details

NPI number 1083790117
LBN Legal business name Mody, Vatsal Haren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2006
Last updated Jul 25th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083790117 NPPES
California MEDICAID 00A564720

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