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NPI Code Detail

MEDICARE: ELIZABETH MOJICA

MEDICARE: ELIZABETH MOJICA
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
11041C0700XClinical Social WorkerLCSW71153CA

General Provider Information

NPI Number : 1871033399
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MOJICA
Provider Business Mailing Address
First Line : PO BOX 734
Second Line :
City : SAN JUAN CAPISTRANO
State : CA
Zip : 92693-0734
Country : US
Telephone Number : 949-422-1241
Fax Number :
Provider Business Practice Location Address
First Line : 18221 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-2676
Country : US
Telephone Number : 714-730-0930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2017
Last Update Date : 03/02/2017

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Directions to “ ELIZABETH MOJICA ” Practice Location

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