Joseph M Molina MD Professional Corporation Southern California
Joseph M Molina MD Professional Corporation Southern California is a Non-Pharmacy Dispensing Site in San Bernardino, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
190 E Highland AveSan Bernardino, CA 92404-3658
Phone: (909) 882-4788
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Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence A110824 (CA) |
|---|
Record details
| NPI number | 1720465206 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Vp Of Operations · (858) 964-1506 |
| Other names | Molina San Bernardino |
| NPI enumerated | May 4, 2015 |
| Last updated in NPPES | May 4, 2015 |
| Mailing address | 5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705 |
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