Individual
ANDRA MARCELA ALEXANDRA MOLDAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100
Mailing address
PO BOX 421528, LOS ANGELES, CA 90042-0528
(347) 204-0772
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
143683
CA
106H00000X
Marriage & Family Therapist
Primary
162849
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2022
Last updated
04/19/2026
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