Organization · Type 2 NPI
Joseph M Molina MD Professional Corporation Southern California
Non-Pharmacy Dispensing Site · Rialto, CA
NPI number
1124405758
Active
Practice location
790 E Foothill Blvd
Rialto, CA 92376-5269
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | 95000207 (CA) |
Non-Pharmacy Dispensing Site: 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.)
Another provider at this address
About NPI 1124405758
Joseph M Molina MD Professional Corporation Southern California's National Provider Identifier is 1124405758, issued on May 4, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Rialto, CA. The record was last updated on May 4, 2015.