Modern Concepts Medical Group, INC
Family Medicine in Montebello, CA. Organization (NPI-2).
NPI number1790738243
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1790738243
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern Concepts Medical Group, INC
- Organization subpart
- No
- Enumeration date
- May 18, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | CA | Yes |
Practice location
1217 W Whittier BlvdMontebello, CA 90640-4642
Phone 323-728-6070 · Fax 323-728-2912
Mailing address
Po Box 640Montebello, CA 90640-0640
Phone 323-728-6070 · Fax 323-728-2912
Authorized official
Margaret Herrera
President
3237286070
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