Provider Demographics
NPI:1467651547
Name:MOHI, ANGIOLINA C (MSC,)
Entity Type:Individual
Prefix:MS
First Name:ANGIOLINA
Middle Name:C
Last Name:MOHI
Suffix:
Gender:F
Credentials:MSC,
Other - Prefix:
Other - First Name:ANGIOLINA
Other - Middle Name:C
Other - Last Name:VASQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:769 MEDICAL CENTER CT
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-6602
Mailing Address - Country:US
Mailing Address - Phone:619-502-3204
Mailing Address - Fax:
Practice Address - Street 1:769 MEDICAL CENTER CT
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6602
Practice Address - Country:US
Practice Address - Phone:619-502-3204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health