Healthcare Provider Details

I. General information

NPI: 1396343703
Provider Name (Legal Business Name): CATYA JEANNETTE MOLINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2020
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 S C ST
OXNARD CA
93033-4560
US

IV. Provider business mailing address

23501 CINEMA DR
SANTA CLARITA CA
91355-5428
US

V. Phone/Fax

Practice location:
  • Phone: 805-509-7852
  • Fax:
Mailing address:
  • Phone: 661-288-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number104727
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number133980
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number104727
License Number State
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number104727
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number104727
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: