Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modmd a Professional Corporation

Organization Emergency Medicine Physician · NPI 1255904207

Modmd a Professional Corporation is an Emergency Medicine Physician in Venice, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

208 Lincoln Blvd
Venice, CA 90291
Phone: (833) 663-6352
Fax: (424) 465-3398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Emergency Medicine Physician Taxonomy 207P00000X

Record details

NPI number1255904207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Dabby — Ceo/Md · (833) 663-6352
NPI enumeratedJuly 19, 2021
Last updated in NPPESFebruary 4, 2023
Certification dateFebruary 4, 2023
Mailing address208 Lincoln Blvd, Venice, CA 90291

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