| Modele Primary Care | |
|
15982 Quantico Rd Ste E Apple Valley CA 92307-1382 | |
| (760) 906-9362 | |
| (760) 503-0064 |
| Full Name | Modele Primary Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15982 Quantico Rd Ste E, Apple Valley, California |
| Authorized Official Name and Position | Leonardo Moqattash (PRESIDENT) |
| Authorized Official Contact | 9098946737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modele Primary Care Po Box 1927 Victorville CA 92393-1927 Ph: (760) 906-9362 | Modele Primary Care 15982 Quantico Rd Ste E Apple Valley CA 92307-1382 Ph: (760) 906-9362 |
| NPI Number | 1043723562 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043723562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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