Search › California › 207R00000X
Andrew Modic, MD
NPI 1063831972 · on the registry since 2014
Practice
- Address
- 1111 N China Lake Blvd
Ridgecrest, CA 93555 - Phone
- (760) 499-3855
- Fax
- (760) 499-3870
- Organisation at this address
- Millet Inc
Drummond Medical Group
Indian Wells Podiatry Group
Drummond Medical Group, Inc
Ridgecrest Regional HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- AL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California