Healthcare Provider Details

I. General information

NPI: 1558290270
Provider Name (Legal Business Name): ARIENA MOLINA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17682 MITCHELL N STE 102
IRVINE CA
92614-6037
US

IV. Provider business mailing address

2015 N BUSH ST APT 101
SANTA ANA CA
92706-2853
US

V. Phone/Fax

Practice location:
  • Phone: 657-562-8102
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: