IndividualActive
Brian Modena, M.D., MSC
NPI 1235379207 · Allergy & Immunology Physician · La Jolla, CA
Provider details
- NPI number
- 1235379207
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., MSC
- Sex
- Male
- Sole proprietor
- No
- License
- A103242 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9850 Genesee Ave Ste 710
La Jolla, CA 92037-1218
Phone: (858) 260-2977
Fax: (858) 260-2978
Approximate (ZIP-level) locationGet directions
Mailing address
9850 Genesee Ave Ste 710
La Jolla, CA 92037-1218
Additional practice locations (2)
- 3816 Woodruff Ave Ste 209Long Beach, CA 90808-2145Phone: (562) 496-4749Fax: (562) 429-3329
- 23600 Telo Ave Ste 130Torrance, CA 90505-4036Phone: (310) 833-1334Fax: (310) 833-0270
Registry dates
- Enumerated
- 2009-03-03
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.