Provider Demographics
NPI:1265543763
Name:MOLARTE, ALTHEA B (MD)
Entity type:Individual
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First Name:ALTHEA
Middle Name:B
Last Name:MOLARTE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:505 S MAIN ST
Mailing Address - Street 2:STE 275
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4509
Mailing Address - Country:US
Mailing Address - Phone:714-836-6607
Mailing Address - Fax:714-836-6600
Practice Address - Street 1:505 S MAIN ST
Practice Address - Street 2:STE 275
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4509
Practice Address - Country:US
Practice Address - Phone:714-836-6607
Practice Address - Fax:714-836-6600
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2009-02-26
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Provider Licenses
StateLicense IDTaxonomies
CAG48597207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G485971Medicaid