Provider Demographics
NPI:1467638486
Name:MOLNAR, MICHELLE NICHOLE
Entity Type:Individual
Prefix:MISS
First Name:MICHELLE
Middle Name:NICHOLE
Last Name:MOLNAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 W ORANGEWOOD AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2004
Mailing Address - Country:US
Mailing Address - Phone:714-221-7002
Mailing Address - Fax:714-221-6401
Practice Address - Street 1:1745 W ORANGEWOOD AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2004
Practice Address - Country:US
Practice Address - Phone:714-221-7002
Practice Address - Fax:714-221-6401
Is Sole Proprietor?:No
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program