Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joseph M Molina MD Professional Corporation Southern California

Organization Non-Pharmacy Dispensing Site · NPI 1912394255

Joseph M Molina MD Professional Corporation Southern California is a Non-Pharmacy Dispensing Site in Fontana, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

17500 Foothill Blvd Ste A2
Fontana, CA 92335-3736
Phone: (909) 428-0170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence G45659 (CA)

Record details

NPI number1912394255
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 964-1506
Other names Molina Fontana
NPI enumeratedApril 24, 2015
Last updated in NPPESApril 24, 2015
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

Other providers in Fontana