| Modryn Practice, Professional Corporation | |
|
1227 Buena Vista St Ste E Duarte CA 91010-2486 | |
| (877) 254-4496 | |
| Not Available |
| Full Name | Modryn Practice, Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1227 Buena Vista St Ste E, Duarte, California |
| Authorized Official Name and Position | Ulin Sargeant (OWNER) |
| Authorized Official Contact | 8772544496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modryn Practice, Professional Corporation 1227 Buena Vista St Ste E Duarte CA 91010-2486 Ph: (877) 254-4496 | Modryn Practice, Professional Corporation 1227 Buena Vista St Ste E Duarte CA 91010-2486 Ph: (877) 254-4496 |
| NPI Number | 1962216887 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962216887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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