MICHELLE MODINA

LOS ANGELES, CA
NPI1417106311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: CA  NP12537)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CA  NP12537)
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  NP12537)
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA  NP12537)
363LS0200X Nurse Practitioner, School
(Licence: CA  NP12537)
Enumeration Date2008-09-16
Last Update Date2008-09-16
Business Address
-- MICHELLE MODINA NP
1230 W 3RD ST 4TH FLOOR
LOS ANGELES, CA 90017-1408
Phone number: 213-481-2511
Mailing Address
-- MICHELLE MODINA NP
11529 JAMES ST
CERRITOS, CA 90703-7410
Phone number: 562-402-4675