Healthcare Provider Details

I. General information

NPI: 1407796196
Provider Name (Legal Business Name): CLINIQUE MOLIERE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 S BREA BLVD
BREA CA
92821-5310
US

IV. Provider business mailing address

735 S BREA BLVD
BREA CA
92821-5310
US

V. Phone/Fax

Practice location:
  • Phone: 714-948-5655
  • Fax: 657-204-8992
Mailing address:
  • Phone: 714-948-5655
  • Fax: 657-204-8992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. RACHELLE MOLIERE
Title or Position: FOUNDER, DIRECTOR, LEAD MIDWIFE
Credential: CNM, FNP
Phone: 714-948-5655