Joseph M Molina MD Professional Corporation Southern California
NPI #1295138659 in Ontario, California
Provider Information
- NPI Number
- 1295138659
- 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
- Sep 30, 2014
- Last Updated
- Jul 15, 2016
Practice Location
- Address
- 1151 E WALNUT ST
- City
- Ontario
- State
- California
- ZIP Code
- 91761-6155
- Phone
- (858) 625-2990
Authorized Official
- Name
- KENNY HEINE
- Title
- VPOF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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