MOLINA COLTON - NPI 1538546015 - Non-Pharmacy Dispensing Site in Colton, CA

Q: 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.

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About Molina Colton NPPES

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

MOLINA COLTON (NPI 1538546015) is a healthcare organization registered as a non-pharmacy dispensing site in Colton, 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

NPI1538546015

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameJOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA

Location Address1181 N MOUNT VERNON AVEColton, CA 92324-2574

Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701

Phone(909) 498-2356

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506

Enumeration DateMay 4, 2015

Last NPPES UpdateJune 2, 2016

✔ NPI 1538546015 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 · 11606

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.)

1181 N MOUNT VERNON AVE, Colton, CA 92324

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Other Names 1

Doing Business AsMolina Colton

Other Providers at the Same Location NPPES 5

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

MRS. ESTHER Y LO N.P.

Nurse Practitioner