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

Robert Lazarus Modlin, MD

Individual provider Dermatology Physician · NPI 1558395160

Robert Lazarus Modlin, MD is a Dermatology in Los Angeles, California. Graduated from New York University School of Medicine in 1980, 46 years ago. Practices with The Regents of the University of California, a 35-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
46
Trained at
New York University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Medical Plz Ste 450
Los Angeles, CA 90095-3075
Phone: (310) 825-6911
Fax: (310) 794-7005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence G46803 (CA)

Record details

NPI number1558395160
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESNovember 22, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice The Regents Of The University Of California — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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