# MANDALA PSYCHE NURSING CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588500201
- **Authorized official:** DR. TATIANA MOLINAR DNP, PMHNP (FOUNDER/CLINICIAN)
- **Authorized official phone:** (626) 489-1060

## Contact information

- **Practice address:** 1424 W 45TH ST, LOS ANGELES, CA 90062-2040
- **Practice address phone:** (323) 697-7381
- **Practice address fax:** (323) 697-7381
- **Mailing address:** 5630 VENICE BLVD STE 1085, LOS ANGELES, CA 90019-5127
- **Mailing address phone:** (626) 489-1060
- **Mailing address fax:** (855) 295-6996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2026
- **Last updated:** 04/27/2026