MEDICARE: MOLLY GOLDRING RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1780305557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY GOLDRING RD

Provider Business Mailing Address
First Line	:	1600 SAWTELLE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5556
Country	:	US
Telephone Number	:	323-391-7262
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 SAWTELLE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-5556
Country	:	US
Telephone Number	:	323-391-7262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2022
Last Update Date	:	09/08/2022

Similar Medicare Providers

1518090018 — MARIO FERNANDO PALACIOS MFT
Practice Location Address:

5556 S CENTINELA AVE # 9
LOS ANGELES, CA
90066-6912

Practice Phone: 310-384-3922
Practice Fax:

1053504647 — MRS. VALERIE EVADNE TAYLOR LVN
Practice Location Address:

4611 W MARTIN LUTHER KING JR BLVD , APARTMENT 197
LOS ANGELES, CA
90016-5556

Practice Phone: 323-296-0249
Practice Fax:

1770048951 — MARIO PALACIOS THERAPY
Practice Location Address:

5556 S CENTINELA AVE
LOS ANGELES, CA
90066-6912

Practice Phone: 310-384-3922
Practice Fax:

1679410955 — PATRICIA YSABELLE EUSALA
Practice Location Address:

1441 BUTLER AVE
LOS ANGELES, CA
90025-2482

Practice Phone: 818-983-9280
Practice Fax:

1326913252 — SANDRA SLOAN
Practice Location Address:

10323 SANTA MONICA BLVD STE 108
LOS ANGELES, CA
90025-5056

Practice Phone: 310-340-0089
Practice Fax: 310-469-9073

1083420400 — LAURA TAOUK PHD
Practice Location Address:

11645 WILSHIRE BLVD STE 1030
LOS ANGELES, CA
90025-6811

Practice Phone: 310-254-9748
Practice Fax:

Directions to “ MOLLY GOLDRING RD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.