MEDICARE: DR. TATIANA MOLINAR DNP, PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP95022470	CA
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1821225780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TATIANA MOLINAR DNP, PMHNP

Provider Business Mailing Address
First Line	:	5630 VENICE BLVD STE 1085
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-5127
Country	:	US
Telephone Number	:	626-489-1060
Fax Number	:

Provider Business Practice Location Address
First Line	:	5630 VENICE BLVD STE 1085
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-5127
Country	:	US
Telephone Number	:	323-419-2676
Fax Number	:

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

Provider Enumeration Date	:	06/18/2009
Last Update Date	:	04/26/2026

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