Modmd a Professional Corporation
NPI #1255904207 in Venice, California
Provider Information
- NPI Number
- 1255904207
- Entity Type
- Organization
- Organization Name
- Modmd a Professional Corporation
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 19, 2021
- Last Updated
- Feb 4, 2023
Practice Location
- Address
- 208 LINCOLN BLVD
- City
- Venice
- State
- California
- ZIP Code
- 90291
- Phone
- (833) 663-6352
Authorized Official
- Name
- MRS. SHARON NAOMI DABBY, MD
- Title
- CEO/MD
- Phone
- (833) 663-6352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
| Clinical Medical Laboratory |
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