KANAN MODI MD INC

SAN DIMAS, CA
NPI1700210762
Entity TypeOrganization
Authorized ContactKANAN MODI
Owner
909-394-9004
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2013-08-27
Last Update Date2013-08-27
Business Address
KANAN MODI MD INC
1305 W ARROW HWY STE 104
SAN DIMAS, CA 91773-2337
Phone number: 909-394-9004
Mailing Address
KANAN MODI MD INC
1305 W ARROW HWY STE 104
SAN DIMAS, CA 91773-2337
Phone number: 909-394-9004
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