HOUCHANG D MODANLOU (NPI# 1841370004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841370004 |
| Entity Type | Individual |
| Full Name | HOUCHANG D MODANLOU |
| Credential | MD |
| Practice Address |
Uci Medical Center 101 The City Drive South Orange CA 92868 |
| Mailing Address |
Neonatal Perinatal Medicine Po Box 513356 Los Angeles CA 90051-3356 |
| Practice Telephone | 7144568978 |
| Mailing Telephone | 7144566369 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
000000A24921 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
UCI MEDICAL CENTER 101 THE CITY DRIVE SOUTH |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093795684 | Ajanta Naidu | Pediatrics | Uci Medical Center, 101 The City Drive, Pavillion 1, Orange, CA 92868 | 2006-01-19 |
| 1275601593 | John A Kusske | Neurological Surgery | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-12-04 |
| 1265500581 | M Joseph Fedoruk | Preventive Medicine | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-12-04 |
| 1174691497 | Marilyn Joyce Pais | Radiology | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-12-04 |
| 1700954021 | Neena P Shah | Radiology | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-12-04 |
| 1811065113 | Daniel Pelot | Internal Medicine | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-12-04 |
| 1720156029 | Arash Anavim | Radiology | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-12-04 |
| 1639247935 | Choong H Baick | Surgery | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-12-04 |
| 1801971148 | Marc Eivind Evensen | Physical Medicine & Rehabilitation | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-26 |
| 1134202658 | Byron J Allen | Internal Medicine | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295197325 | Bret Nolan | Pediatrics | 101 The City Dr S, Orange, CA 92868-3298 | 2016-03-28 |
| 1427493444 | Kristi Megan Kambestad | Pediatrics | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-05-03 |
| 1144468620 | Pediatric Subspecialty Faculty, Inc. | Pediatrics | 455 S Main St, Psf Neonatology, Orange, CA 92868-3835 | 2009-01-22 |
| 1023286101 | Rebecca Coleman | Pediatrics | 101 The City Dr S, Building 56, Suite 600, Orange, CA 92868-3201 | 2008-02-12 |
| 1265629612 | Michel Mikhael | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2007-10-01 |
| 1396861951 | Carl Edwin Shangle | Pediatrics | 1201 W La Veta Ave, Choc Children's Specialists, Orange, CA 92868-4203 | 2007-03-22 |
| 1528114774 | Jack Howard Sills | Pediatrics | 101 The City Dr S, Orange, CA 92868-3201 | 2007-01-27 |
| 1235215484 | Carrie C Worcester | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-31 |
| 1609951888 | Vijay Dhar | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-26 |
| 1962582122 | Eugene L Mahmoud | Pediatrics | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.