Healthcare Provider Details

I. General information

NPI: 1619885159
Provider Name (Legal Business Name): ISABEL MOLINTAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 E ORANGEBURG AVE
MODESTO CA
95355-3116
US

IV. Provider business mailing address

1344 E ORANGEBURG AVE
MODESTO CA
95355-3116
US

V. Phone/Fax

Practice location:
  • Phone: 209-571-0116
  • Fax:
Mailing address:
  • Phone: 209-814-8592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number507001908
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: