JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA NPI 1073885786

NPI Information

NPI: 1073885786
Provider Name: JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA

Doing Business As: MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3322 BROADWAY
SUITE 200
EVERETT, WA
ZIP 98201
Phone: (425) 249-4922
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JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA is a family medicine in Everett, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA NPI is 1073885786. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Molina Medical Group Of Southern California.

The provider's business location address is:

3322 BROADWAY
SUITE 200
EVERETT, WA
ZIP 98201-425
Phone: (425) 249-4922
Fax: (877) 860-2284

The provider's authorized official is Gloria Calderon .
The authorized official title is Vice President, Clinic Operations and has the following contact phone number (562) 491-7053.

The enumeration date for this NPI number is 1/27/2012 and was last updated on 3/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	207Q00000X	Family Medicine			WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G8910710	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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