JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA NPI 1568734267

NPI Information

NPI: 1568734267
Provider Name: JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Other Name: GOLDEN SHORE MEDICAL GROUP
Address: 1151 E WALNUT ST
ONTARIO, CA
ZIP 91761
Phone: (909) 467-0797

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NPI Details

JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA is a family medicine in Ontario, CA. 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 1568734267. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Golden Shore Medical Group.

The provider's business location address is:

1151 E WALNUT ST
ONTARIO, CA
ZIP 91761-155
Phone: (909) 467-0797
Fax: (877) 778-8097

The provider's authorized official is Gloria Calderon .
The authorized official title is Vice President, Clinic Operations and has the following contact phone number (626) 346-2455.

The enumeration date for this NPI number is 1/27/2012 and was last updated on 2/7/2018.

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	207Q00000X	Family Medicine			CALIFORNIA	Yes
2	208000000X	Pediatrics			CALIFORNIA	No

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	APPROVED EFF:1/31/12	MEDICAID	CALIFORNIA
2	APPROVED EFF:1/31/12	OTHER	CALIFORNIA	MEDI-CAL
3	DU4034-EFF. 3/10/12	OTHER	CALIFORNIA	RAILROAD MEDICARE

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: 11/21/2025

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