MODERN CONCEPTS MEDICAL GROUP NPI 1194930420

NPI Information

MODERN CONCEPTS MEDICAL GROUP is a family medicine in Pasadena, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MODERN CONCEPTS MEDICAL GROUP NPI is 1194930420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

50 BELLEFONTAINE ST
404
PASADENA, CA
ZIP 91105-132
Phone: (323) 728-6070
Fax: (323) 728-2912

The provider's authorized official is Margaret Herrera .
The authorized official title is President and has the following contact phone number (323) 728-6070.

The CLIA number assigned to this NPI record is 05D0936983 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/11/2007 and was last updated on 7/21/2022.

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:

Other Identifiers

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