MEDICARE: ELSY ARGELIA MOLINA

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
1	1041C0700X	Clinical Social Worker	LCSW 76362	CA

General Provider Information

NPI Number	:	1285883488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELSY ARGELIA MOLINA

Provider Business Mailing Address
First Line	:	900 CORPORATE CENTER DR STE 350
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-7620
Country	:	US
Telephone Number	:	323-526-4016
Fax Number	:

Provider Business Practice Location Address
First Line	:	4701 E. CESAR CHAVEZ AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-1606
Country	:	US
Telephone Number	:	323-881-3799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2008
Last Update Date	:	03/08/2024

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