Moldin, Thidar

Moldin, Thidar is an individual health care provider with primary practice located at 12450 Van Nuys Blvd Ste 200 , Pacoima CA 91331. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moldin, Thidar can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Ste 200 Pacoima CA 91331
Phone: (818) 896-1161
Fax: (818) 896-5069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 27038 California

Profile Details

NPI number 1649397100
LBN Legal business name Moldin, Thidar
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Mar 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649397100 NPPES
California MEDICAID 6758
California MEDICAID 7420
California MEDICAID 7068

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