| NPI | 1043723562 |
|---|---|
| Doing Business As | MODELE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | LEONARDO MOQATTASH President 909-894-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2024-06-12 |