LADAN MODALLEL, MD

Pediatrics

Active Individual
NPI: 1669633376

Practice Address

1574 W BASE LINE ST STE 107
San Bernardino, CA 92411

Phone: (909) 386-1880

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 117285 (CA)

Frequently Asked Questions

NPI 1669633376 is the National Provider Identifier for LADAN MODALLEL, MD, a Pediatrics provider located in San Bernardino, CA. This NPI was enumerated on June 24, 2008.
LADAN MODALLEL, MD practices at 1574 W BASE LINE ST STE 107, San Bernardino, CA 92411.

Quick Facts

NPI
1669633376
Type
Individual
Enumerated
Jun 24, 2008
Last Updated
Aug 18, 2025

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