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Search › California › 207K00000X

Brian Modena, M.D., MSC

NPI 1235379207 · on the registry since 2009

Practice

Address
9850 Genesee Ave Ste 710
La Jolla, CA 92037
Phone
(858) 260-2977
Fax
(858) 260-2978
Organisation at this address
Ximed Ipa
Mashay Inc
Twg Medical Cas
Diana Ng Md Inc
Nisha Bunke, Md
Inferred from a shared address, not stated in the registry.
Clinicians at this address
301

Additional practice sites

  • 23600 Telo Ave Ste 130, Torrance, CA
  • 3816 Woodruff Ave Ste 209, Long Beach, CA

Registry record

Primary taxonomy
207K00000X
207K00000X
Also registered as
207R00000X
207RA0201X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-09

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