Individual provider · Type 1 NPI

Ladan Modallel, MD

Pediatrics Physician · San Bernardino, CA

NPI number 1669633376 Active

Practice location

1574 W Base Line St Ste 107
San Bernardino, CA 92411-1736

Call (909) 386-1880 Map

Fax (909) 386-1882

Mailing address

742 W Highland Ave
San Bernardino, CA 92405-3839

Other practice locations

1550 S Pioneer Way Ste 200, Moses Lake, WA 98837-4614 · (509) 793-9787

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	44915 (KY)
Pediatrics Physician	208000000X	MD60914735 (WA)
Pediatrics Physician Primary	208000000X	117285 (CA)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

3 other providers at this address

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About NPI 1669633376

Ladan Modallel, MD's National Provider Identifier is 1669633376, issued on Jun 24, 2008. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 18, 2025.