Provider Demographics
NPI:1013268226
Name:MOHN, PALOMA ADRIANA
Entity Type:Individual
Prefix:MS
First Name:PALOMA
Middle Name:ADRIANA
Last Name:MOHN
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 1:4040 30TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-2684
Mailing Address - Country:US
Mailing Address - Phone:619-876-4462
Mailing Address - Fax:
Practice Address - Street 1:4040 30TH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-2684
Practice Address - Country:US
Practice Address - Phone:619-876-4462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor