Organization · Type 2 NPI

Joseph M Molina MD Professional Corporation Southern California

Non-Pharmacy Dispensing Site · Fontana, CA

NPI number 1912394255 Active

Practice location

17500 Foothill Blvd, Suite A2
Fontana, CA 92335-3736

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XG45659 (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.)

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About NPI 1912394255

Joseph M Molina MD Professional Corporation Southern California's National Provider Identifier is 1912394255, issued on Apr 24, 2015. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Fontana, CA. The record was last updated on Apr 24, 2015.