Provider Demographics
NPI:1114095676
Name:ORTIZ MOLINA, ANA CELIA (BSW)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:CELIA
Last Name:ORTIZ MOLINA
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:ORTIZ MOLINA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHS
Mailing Address - Street 1:1299 BECKET DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121
Mailing Address - Country:US
Mailing Address - Phone:408-921-3501
Mailing Address - Fax:
Practice Address - Street 1:160 E VIRGINIA ST
Practice Address - Street 2:#280
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112
Practice Address - Country:US
Practice Address - Phone:408-287-6200
Practice Address - Fax:408-998-1535
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor