MODAX CORPORATION NPI 1659200616

NPI Information

  • NPI: 1659200616
  • Provider Name: MODAX CORPORATION
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 6439 MARYMOUNT ST
    CHINO, CA
    ZIP 91710
  • Phone: (909) 455-3794

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NPI Details

MODAX CORPORATION is a family medicine in Chino, 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. MODAX CORPORATION NPI is 1659200616. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6439 MARYMOUNT ST
CHINO, CA
ZIP 91710-110
Phone: (909) 455-3794

The provider's authorized official is Mohammad M Siddiqui .
The authorized official title is Medical Director and has the following contact phone number (909) 455-3794.

The enumeration date for this NPI number is 5/15/2026 and was last updated on 5/15/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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