MOLINA SAN BERNARDINO
NPI 1720465206
Non-Pharmacy Dispensing Site in San Bernardino, 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.

Active since May 04, 2015

190 E HIGHLAND AVE, SAN BERNARDINO, CA 92404(909) 882-4788 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Molina San Bernardino NPPES

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

MOLINA SAN BERNARDINO (NPI 1720465206) is a healthcare organization registered as a non-pharmacy dispensing site in San Bernardino, 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

NPI1720465206

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameJOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA

Location Address190 E HIGHLAND AVESan Bernardino, CA 92404-3658

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(909) 882-4788

Organization SubpartYesParent: Medvantx, Inc.

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

Enumeration DateMay 4, 2015

✔ NPI 1720465206 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 · A110824

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.)

190 E HIGHLAND AVE, San Bernardino, CA 92404

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Other Names 1

Doing Business AsMolina San Bernardino

Other Providers at the Same Location NPPES 15

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

MARIA ELENA TERRAZAS PA

Physician Assistant (Medical)