| Michael R Mollura Ph.d. Psychologist Inc., A Professional Corporation | |
|
1800 Vine St Hollywood CA 90028-5250 | |
| (213) 280-9625 | |
| Not Available |
| Full Name | Michael R Mollura Ph.d. Psychologist Inc., A Professional Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1800 Vine St, Hollywood, California |
| Authorized Official Name and Position | Michael Mollura (CEO) |
| Authorized Official Contact | 2132809625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Mollura Ph.d. Psychologist Inc., A Professional Corporation 1800 Vine St Hollywood CA 90028-5250 Ph: (213) 280-9625 | Michael R Mollura Ph.d. Psychologist Inc., A Professional Corporation 1800 Vine St Hollywood CA 90028-5250 Ph: (213) 280-9625 |
| NPI Number | 1386339422 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 05/27/2025 |
| Certification Date | 05/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386339422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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