Mrs Mary Alice Modders, FNP | |
8635 W 3rd St, Suite 795, Los Angeles, CA 90048-6101 | |
(310) 423-8350 | |
Not Available |
Full Name | Mrs Mary Alice Modders |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 8635 W 3rd St, Los Angeles, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215241682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 19349 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cedars-sinai Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cedars-sinai Medical Center | 0446169114 | 651 |
Entity Name | Cedars-sinai Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639172372 PECOS PAC ID: 0446169114 Enrollment ID: O20040204000886 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Alice Modders, FNP 8635 W 3rd St, Suite 795, Los Angeles, CA 90048-6101 Ph: (310) 423-8350 | Mrs Mary Alice Modders, FNP 8635 W 3rd St, Suite 795, Los Angeles, CA 90048-6101 Ph: (310) 423-8350 |
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