Modad, Albert

Modad, Albert is an individual health care provider with primary practice located at 1211 Puerta Del Sol , San Clemente CA 92673-6306. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Modad, Albert can be contacted via phone (949) 276-5553.

Contact Information

Primary practice address
1211 Puerta Del Sol San Clemente CA 92673-6306
Phone: (949) 276-5553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 29697 California

Profile Details

NPI number 1629453691
LBN Legal business name Modad, Albert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Mar 16th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629453691 NPPES
California Other 39 STUDENT IN A HEALTH CARE TRAINING PROGRAM

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