JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA NPI 1720465206

NPI Information

JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA is a non pharmacy dispensing site in San Bernardino, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA NPI is 1720465206. The provider is registered as an organization entity type.
The provider Is Doing Business As Molina San Bernardino.

The provider's business location address is:

190 E HIGHLAND AVE
SAN BERNARDINO, CA
ZIP 92404-658
Phone: (909) 882-4788

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The enumeration date for this NPI number is 5/4/2015 and was last updated on 5/4/2015.

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:

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