Provider Demographics
NPI:1164767869
Name:MOLINA-GARCIA, ABBY A
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:A
Last Name:MOLINA-GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:A
Other - Last Name:MOLINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5901 E. 7TH ST
Mailing Address - Street 2:BLDG 1, 4TH FLOOR
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90822
Mailing Address - Country:US
Mailing Address - Phone:562-841-5171
Mailing Address - Fax:562-826-5327
Practice Address - Street 1:888 W SANTA ANA BLVD STE 150
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4592
Practice Address - Country:US
Practice Address - Phone:714-568-9803
Practice Address - Fax:562-826-5327
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 171M00000X
CA1183791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator