Type 2 organization · NPI 1003422643
MODEN MEDICAL GROUP
207R00000X · SAN DIEGO, CA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 207R00000X | 207R00000X | Primary |
| 207Q00000X | 207Q00000X | Additional |
| 207RH0002X | 207RH0002X | Additional |
| 2083A0300X | 2083A0300X | Additional |
| 2083B0002X | 2083B0002X | Additional |
| 2084N0400X | 2084N0400X | Additional |
| 2084P0800X | 2084P0800X | Additional |
| 208D00000X | 208D00000X | Additional |
| 208M00000X | 208M00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s