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

Theodore E. Staahl MD Inc

Organization Medical Specialty Clinic/Center · NPI 1467767541

Theodore E. Staahl MD Inc is a Medical Specialty Clinic/Center in Modesto, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1329 Spanos Ct Ste A-1
Modesto, CA 95355-2806
Phone: (209) 577-5700
Fax: (209) 577-5968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence G37452 (CA)

Record details

NPI number1467767541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Staahl — Administrator/Office Manager · (209) 577-5700
Other names Md Laser Center; Md Laser Center
NPI enumeratedAugust 12, 2010
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022
Mailing address1329 Spanos Ct, Suite A-1, Modesto, CA 95355-2806

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