Basic Information
| Provider Information | |||||||||
| NPI: | 1851738777 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ISOLA | ||||||||
| FirstName: | MOLLY | ||||||||
| MiddleName: | KATE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5767 W CENTURY BLVD STE 400 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900455631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103018707 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2601 W ALAMEDA AVE STE 412 | ||||||||
| Address2: | |||||||||
| City: | BURBANK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 915054813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182380120 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2013 | ||||||||
| LastUpdateDate: | 05/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | S5188 | TX | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | MD2018-0243 | NM | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 208600000X | 125063076 | IL | N | Allopathic & Osteopathic Physicians | Surgery | 207V00000X | A175278 | CA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.