Modern Medial Alternative

Specialty details in registry · City Of Industry, CA

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At a glance

18232 Gale Ave, City Of Industry, CA 91748

NPPES record updated Dec 14, 2017. Public records can lag behind changes at a practice.

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Practice location

18232 Gale Ave
City Of Industry, CA 91748

Professional details: NPI, taxonomy & registry record

NPI1861907784

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 171100000X
Enumeration date: Dec 14, 2017
Record updated: Dec 14, 2017

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

171100000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

18232 Gale Ave
City Of Industry, CA 91748

Phone: (626) 242-7695
Fax: (626) 964-2659

Mailing address

P.O. BOX 90851

CITY OF INDUSTRY, CA 91715

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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