Joseph M Molina MD Professional Corporation Southern California
NPI #1124405758 in Rialto, California
Provider Information
- NPI Number
- 1124405758
- 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
- May 4, 2015
- Last Updated
- May 4, 2015
Practice Location
- Address
- 790 E FOOTHILL BLVD
- City
- Rialto
- State
- California
- ZIP Code
- 92376-5269
- Phone
- (909) 546-7135
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATION
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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