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General NPI Number Information
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NPI Number | 1114892007
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Entity Type | Organization
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Legal Business Name | CLINIQUE MOLIERE CORPORATION
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 735 S BREA BLVD
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City | BREA
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State | CA
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Zip | 92821-5310
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Country | US
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Telephone | 714-948-5655
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Fax | 657-204-8992
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Provider Business Mailing Address
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Address Line | 2114 N WRIGHT ST
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City | SANTA ANA
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State | CA
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Zip | 92705-7159
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Country | US
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Telephone | 714-948-5655
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Fax | 657-204-8992
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Authorized Official
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Title or Position | OWNER
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Name | RACHELLE MOLIERE
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Credential |
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Telephone | 714-948-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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