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Dr. Kanan Modi, MD
Pediatrics Physician in San Dimas, California
NPI 1881704898

Kanan Modi is a Pediatrics Physician based in San Dimas, CA. Kanan Modi practices in San Dimas, CA and has the professional credentials of MD. The NPI Number for Kanan Modi is 1881704898 and holds a License No. A38793 (California).

The current practice location address for Kanan Modi is 1305 W Arrow Hwy Ste 104, San Dimas, CA and can be reached out via phone at 909-967-7826 and via fax at 909-394-9461.

Location: 1305 W Arrow Hwy Ste 104, San Dimas, CA, 91773-2336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881704898
Provider Name
Kanan Modi
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1305 W Arrow Hwy Ste 104, San Dimas, CA, 91773-2336
Phone Number
909-967-7826
Fax Number
909-394-9461
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A387930 05 CA
A38793 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1305 W Arrow Hwy Ste 104
City
San Dimas
State
California
Zip
91773-2337
Phone Number
909-967-7826
Fax Number
909-394-9461
person
Provider Business Mailing Address Details
Address
1305 W Arrow Hwy Ste 104
City
San Dimas
State
California
Zip
91773-2337
Phone Number
909-967-7826
Fax Number
909-394-9461
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A38793 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
A38793 (California)
Definition
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.
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