Search › California › 363LW0102X
Michelle Modina, NP
NPI 1417106311 · on the registry since 2008
Practice
- Address
- 1230 W 3rd St
4th Floor
Los Angeles, CA 90017 - Phone
- (213) 481-2511
- Fax
- (213) 481-1913
- Organisation at this address
- Proactive Work Health Medical Center Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Also registered as
- 363L00000X
363LA2200X
363LG0600X
363LS0200X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-09-16
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