ALBERT MODAD

SAN CLEMENTE, CA
NPI1629453691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  29697)
Enumeration Date2015-07-20
Last Update Date2018-03-16
Business Address
ALBERT MODAD
1211 PUERTA DEL SOL
SAN CLEMENTE, CA 92673-6306
Phone number: 949-276-5553
Mailing Address
ALBERT MODAD
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-906-4623