Bulk check

Moden Medical Group

Internal Medicine in San Diego, CA. Organization (NPI-2).

NPI number1003422643
StatusActive
Last updated in NPPESSep 18, 2020

Details

NPI
1003422643
Entity type
Organization (NPI-2)
Legal business name
Moden Medical Group
Organization subpart
No
Enumeration date
Sep 18, 2020
Certification date
Sep 17, 2020
Last updated
Sep 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207Q00000X Family Medicine––
207RH0002X Internal Medicine, Hospice and Palliative Medicine––
2083A0300X Preventive Medicine, Addiction Medicine––
2083B0002X Preventive Medicine, Obesity Medicine––
2084N0400X Psychiatry & Neurology, Neurology––
2084P0800X Psychiatry & Neurology, Psychiatry––
208D00000X General Practice––
208M00000X Hospitalist––

Practice location

8901 Activity Rd Ste 205
San Diego, CA 92126-4436

Phone 888-822-1184 · Fax 888-877-3676

Mailing address

237 A St # 93791
San Diego, CA 92101-4003

Phone 888-822-1184 · Fax 888-877-3676

Authorized official

Hojung Joseph Yoon
Ceo
8888221184

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in San Diego, CA

All 1,104 Internal Medicine Physician providers in San Diego · All 61,118 providers in San Diego

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check