Joseph M Molina MD Professional Corporation Southern California
NPI #1083017834 in Long Beach, California
Provider Information
- NPI Number
- 1083017834
- Entity Type
- Organization
- Organization Name
- Joseph M Molina MD Professional Corporation Southern California
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX INC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 7, 2014
- Last Updated
- Dec 3, 2015
Practice Location
- Address
- 540 E ARTESIA BLVD
- City
- Long Beach
- State
- California
- ZIP Code
- 90805-1476
- Phone
- (562) 423-3383
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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