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JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA NPI 1780005140


NPI Information

NPI: 1780005140
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:
1409 S STATE ST
OREM, UT
ZIP 84097
Phone: (562) 499-6191
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JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA is a family medicine in Orem, UT. 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 1780005140. 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:

1409 S STATE ST
OREM, UT
ZIP 84097-703
Phone: (562) 499-6191
Fax: (562) 499-6171

The provider's authorized official is Gloria Calderon .
The authorized official title is Vp, Clinic Operations and has the following contact phone number (562) 499-6191.

The enumeration date for this NPI number is 1/2/2014 and was last updated on 5/27/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EFF. 3/3/14MEDICAIDUTAH
2U000085971-EF.3/3/14MEDICARE PINUTAH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.