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NPI Code Detail

MEDICARE: MARTIN MOLINOS

MEDICARE: MARTIN MOLINOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor76078CA
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker76078CA
41041C0700XClinical Social Worker105299CA

General Provider Information

NPI Number : 1164883138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN MOLINOS
Provider Business Mailing Address
First Line : 1852 PORTOFINO DR
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-6130
Country : US
Telephone Number : 562-265-8487
Fax Number :
Provider Business Practice Location Address
First Line : 1852 PORTOFINO DR
Second Line :
City : OCEANSIDE
State : CA
Zip : 92054-6130
Country : US
Telephone Number : 562-265-8487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2016
Last Update Date : 12/14/2021

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Directions to “ MARTIN MOLINOS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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