Provider Demographics
NPI:1891518262
Name:MOJICA, ELIZABETH (PMHNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:MOJICA
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12312 TWINTREE AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840-3819
Mailing Address - Country:US
Mailing Address - Phone:714-376-7348
Mailing Address - Fax:714-376-7348
Practice Address - Street 1:999 N TUSTIN AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3528
Practice Address - Country:US
Practice Address - Phone:714-545-5550
Practice Address - Fax:714-708-2588
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032686363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health