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JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA NPI 1801177944


NPI Information

NPI: 1801177944
Provider Name: JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA

Doing Business As: MOLINA MEDICAL GROUP OF SOUTHERN CA

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1714 SAINT MICHAELS DR
#1
SANTA FE, NM
ZIP 87505
Phone: (505) 490-4042
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JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA is a family medicine in Santa Fe, NM. 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 1801177944. 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 Ca.

The provider's business location address is:

1714 SAINT MICHAELS DR
#1
SANTA FE, NM
ZIP 87505-617
Phone: (505) 490-4042
Fax: (877) 846-3680

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) 499-6191.

The enumeration date for this NPI number is 9/2/2011 and was last updated on 6/18/2013.


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
2207Q00000XFamily 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
172035005MEDICAIDNEW MEXICO
2NMA102259MEDICARE PINNEW MEXICO

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: 4/28/2024

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