Healthcare Provider Details

I. General information

NPI: 1912298506
Provider Name (Legal Business Name): CLAUDIA LORENA MOLINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2011
Last Update Date: 04/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 POST ST
SAN FRANCISCO CA
94109-5603
US

IV. Provider business mailing address

439 ARLINGTON ST
SAN FRANCISCO CA
94131-3015
US

V. Phone/Fax

Practice location:
  • Phone: 415-775-2636
  • Fax: 415-775-1345
Mailing address:
  • Phone: 415-308-0014
  • Fax: 415-401-2741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: