Mamta D Modhwadia
ActiveCalifornia license A113990
License
- Licensed by
- Medical Board of California
- License number
- A113990
- Status
- Active (Current)
- First issued
- September 10, 2010
- Expires
- May 31, 2028
- License holder
- Mamta D Modhwadia
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
16755 Coyote Bush Drive #4
San Diego, CA 92127
San Diego, CA 92127
San Diego County