Joseph M Molina MD Professional Corporation Southern California
NPI #1538546015 in Colton, California
Provider Information
- NPI Number
- 1538546015
- 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
- Jun 2, 2016
Practice Location
- Address
- 1181 N MOUNT VERNON AVE
- City
- Colton
- State
- California
- ZIP Code
- 92324-2574
- Phone
- (909) 498-2356
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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