Mody, Vatsal Haren
Mody, Vatsal Haren is an sole proprietor health care provider with primary practice located at 10832 Laurel St Ste 101 , Rancho Cucamonga CA 91730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mody, Vatsal Haren can be contacted via phone (909) 477-3015.Contact Information
Primary practice address
10832 Laurel St Ste 101
Rancho Cucamonga CA 91730
Phone: (909) 477-3015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A56472 | California |
Profile Details
| NPI number | 1083790117 |
|---|---|
| LBN Legal business name | Mody, Vatsal Haren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 25th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083790117 | NPPES |
| California | MEDICAID | 00A564720 |
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