Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LADAN MODALLEL, MD
ActiveLADAN MODALLEL, MD is a Pediatrics healthcare provider located in SAN BERNARDINO, California. NPI 1669633376 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SAN BERNARDINO, CA
Registration Details
- NPI Number
- 1669633376
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2008 (18.102629465859 yrs)
- Last Updated
- Aug 18, 2025
- Licenses
-
44915 (KY)MD60914735 (WA)117285 (CA)
Practice Information
- Address
-
1574 W BASE LINE ST STE 107SAN BERNARDINO, CA, 924111736Browse CA providers · Browse ZIP 92411
- Phone
- 9093861880
- Fax
- 9093861882
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in SAN BERNARDINO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. KOFI ADADE-BOAFO | M.D. | 1003898792 |
| JESUSA AQUINO | M.D | 1538122106 |
| PHILIP CHAOTSAI CHIEN | M.D. | 1205885985 |
| GAIL MARKS | MD | 1700813698 |
| SWAPNA S. KUDTARKAR | M.D. | 1104939172 |
| CATHERINE TAN | M.D. | 1598870248 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.