Joseph M Molina MD Professional Corporation Southern California
NPI #1154709301 in Citrus Heights, California
Provider Information
- NPI Number
- 1154709301
- 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 8, 2015
- Last Updated
- Mar 25, 2016
Practice Location
- Address
- 7777 SUNRISE BLVD
- Address 2
- SUITE 2500
- City
- Citrus Heights
- State
- California
- ZIP Code
- 95610-2300
- Phone
- (916) 722-2227
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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