Organization · Type 2 NPI
Moderm Medical Solutions Ca Inc.
Community Health Nurse Practitioner · San Jacinto, CA
NPI number
1144195884
Active
Practice location
2263 Finch Circle
San Jacinto, CA 92582
Fax (888) 211-4677
Mailing address
3350 Shelby St Ste 200
Ontario, CA 91764-5556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | None listed |
| Community Health Nurse Practitioner Primary | 363LC1500X | None listed |
Community Health Nurse Practitioner: Definition to come...
About NPI 1144195884
Moderm Medical Solutions Ca Inc.'s National Provider Identifier is 1144195884, issued on Oct 10, 2025. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in San Jacinto, CA. The record was last updated on Oct 10, 2025.