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DR. MODAR SUKKARIEH M.D. NPI 1124328430


NPI Information

NPI: 1124328430
Provider Name: DR. MODAR SUKKARIEH, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D2107123

Address:
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
ZIP 90033
Phone: (323) 268-5000
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DR. Modar Sukkarieh, M.D. is a pediatrics in Los Angeles, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Modar Sukkarieh, M.D. NPI is 1124328430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
ZIP 90033-414
Phone: (323) 268-5000

The NPI 1124328430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D2107123 - independent with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/2/2010 and was last updated on 11/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA114360CALIFORNIAYes
2208000000XPediatrics259994MASSACHUSETTSNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.