Individual provider · Type 1 NPI

Michael Modica, MD

Diagnostic Radiology Physician · Beverly Hills, CA

NPI number 1295926061 Active

Practice location

8750 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-2708

Call (310) 689-3100 Map

Mailing address

877 W Main St, Suite 603
Boise, ID 83702-5883

Other practice locations

  • 877 W Main St, Suite 603, Boise, ID 83702-5883 · (208) 367-2161

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XC193571 (CA)
Diagnostic Radiology Physician 2085R0202X251042 (MA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1295926061

Michael Modica, MD's National Provider Identifier is 1295926061, issued on Aug 7, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Beverly Hills, CA. The record was last updated on Oct 23, 2024.