| El Molino Family Therapy | |
|
1401 Fair Oaks Ave South Pasadena CA 91030-6204 | |
| (626) 252-7964 | |
| (626) 609-0200 |
| Full Name | El Molino Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1401 Fair Oaks Ave, South Pasadena, California |
| Authorized Official Name and Position | Miriam Bermudez (OWNER) |
| Authorized Official Contact | 6262527964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Molino Family Therapy 1401 Fair Oaks Ave South Pasadena CA 91030-6204 Ph: (626) 252-7964 | El Molino Family Therapy 1401 Fair Oaks Ave South Pasadena CA 91030-6204 Ph: (626) 252-7964 |
| NPI Number | 1427892462 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427892462 | NPI | - | NPPES |
| 1740443233 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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