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MODERN MAN TRT LLC
NPI 1811744907
Internal Medicine in San Diego, CA

Active since May 06, 2024
4306 W POINT LOMA BLVD APT D, SAN DIEGO, CA 92107(619) 356-8973 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modern Man Trt Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN MAN TRT LLC (NPI 1811744907) is a healthcare organization registered as an internal medicine in San Diego, California and active in the NPI registry since May 2024. The organization lists John Hortareas, Owner, as its authorized official.

NPPES Registry Identity

NPI1811744907
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMODERN MAN TRT LLC
Location Address4306 W POINT LOMA BLVD APT DSan Diego, CA 92107-1165
Mailing Address4306 W Point Loma Blvd Apt DSan Diego, CA 92107-1165 · (619) 356-8973
Phone(619) 356-8973
Organization SubpartNo
Authorized OfficialJohn HortareasOwner · (619) 356-8973
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1811744907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4306 W POINT LOMA BLVD APT D, San Diego, CA 92107
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Man Trt LLC's NPI number?

The NPI number for Modern Man Trt LLC is 1811744907. It was assigned to this organization in the NPPES registry on May 6, 2024.

Where is Modern Man Trt LLC located?

Modern Man Trt LLC is located at 4306 W Point Loma Blvd Apt D, San Diego, CA 92107. The listed phone number is (619) 356-8973.

What is Modern Man Trt LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Modern Man Trt LLC was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.