Search › California › Pediatrics Physician
Ladan Modallel, MD
NPI 1669633376 · on the registry since 2008
Practice
- Address
- 1574 W Base Line St Ste 107
San Bernardino, CA 92411 - Phone
- (909) 386-1880
- Fax
- (909) 386-1882
- Organisation at this address
- San Marcos Medical Group Inc.
San Marcos Medical Group Inc.
Central Neighborhood Health Foundation - Base Line San BernardinoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 1550 S Pioneer Way Ste 200, Moses Lake, WA
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Also registered as
- Pediatrics Physician
Pediatrics Physician - Licence states on file
- KY, WA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-18
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