El Molino Family Therapy

LBN: El Molino Family Therapy
El Molino Family Therapy is an health care organization with primary practice located at 1401 Fair Oaks Ave , South Pasadena CA 91030-6204. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as the primary health care specialty. El Molino Family Therapy can be contacted via phone (626) 252-7964, or through Bermudez, Miriam via phone (626) 252-7964.

Contact Information

Primary practice address
1401 Fair Oaks Ave South Pasadena CA 91030-6204
Phone: (626) 252-7964
Fax: (626) 609-0200
Website:
Map and Directions
Authorized official contact:
Name: Bermudez, Miriam Marriage and Family Therapist (MFT)
Phone: (626) 252-7964

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1427892462
LBN Legal business name El Molino Family Therapy
DBA Doing business as
Authorized official Bermudez, Miriam Marriage and Family Therapist (MFT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2024
Last updated Jun 24th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427892462 NPPES
California MEDICAID 1740443233

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