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MOLINA MORENO VALLEY
NPI 1164809794
Non-Pharmacy Dispensing Site in Moreno Valley, CA

Active since May 04, 2015
24853 ALESSANDRO BLVD, SUITE 4, MORENO VALLEY, CA 92553(951) 571-8518 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Molina Moreno Valley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLINA MORENO VALLEY (NPI 1164809794) is a healthcare organization registered as a non-pharmacy dispensing site in Moreno Valley, California and active in the NPI registry since May 2015. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1164809794
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameJOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA
Location Address24853 ALESSANDRO BLVD, SUITE 4Moreno Valley, CA 92553-6102
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(951) 571-8518
Organization SubpartYesParent: Medvantx, Inc,
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateMay 4, 2015
✔ NPI 1164809794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in CA · 5964
Definition
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.)
24853 ALESSANDRO BLVD, Moreno Valley, CA 92553
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Other Names 1

Doing Business AsMolina Moreno Valley

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAN SEOW-MENG PAN D.O.
Family Medicine
24853 ALESSANDRO BLVD, #4
MORENO VALLEY, CA 92553
Riverside County (951) 571-8518
MOLINA HEALTHCARE OF CALIFORNIA
Family Medicine
24853 ALESSANDRO BLVD
MORENO VALLEY, CA 92553
Riverside County (951) 571-8518
MOHAMMAD ALI AKBARI PA-C
Physician Assistant (Medical)
24853 ALESSANDRO BLVD
MORENO VALLEY, CA 92553
Riverside County (951) 571-8518
LILLIE MAE WILLIAMS M.D.
Pediatrics
24853 ALESSANDRO BLVD, #4
MORENO VALLEY, CA 92553
Riverside County (915) 571-8518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph M Molina MD Professional Corporation Southern California's NPI number?

The NPI number for Joseph M Molina MD Professional Corporation Southern California is 1164809794. It was assigned to this organization in the NPPES registry on May 4, 2015. The provider is doing business as Molina Moreno Valley.

Where is Joseph M Molina MD Professional Corporation Southern California located?

Joseph M Molina MD Professional Corporation Southern California is located at 24853 Alessandro Blvd Suite 4, Moreno Valley, CA 92553. The listed phone number is (951) 571-8518.

What is Joseph M Molina MD Professional Corporation Southern California's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Joseph M Molina MD Professional Corporation Southern California was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.