Molina Medical Group Of Southern California

LBN: Joseph M Molina Md Professional Corporation - Southern California
Molina Medical Group Of Southern California is an health care organization with primary practice located at 2196 West 3500 South, Suite C1 , West Valley City UT 84119-3463. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Joseph M Molina Md Professional Corporation - Southern California can be contacted via phone (562) 499-6191, or through Calderon, Gloria via phone (562) 499-6191.

Contact Information

Primary practice address
2196 West 3500 South, Suite C1 West Valley City UT 84119-3463
Phone: (562) 499-6191
Fax: (562) 499-6171
Website:
Map and Directions
Authorized official contact:
Name: Calderon, Gloria
Phone: (562) 499-6191

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1063842334
LBN Legal business name Joseph M Molina Md Professional Corporation - Southern California
DBA Doing business as Molina Medical Group Of Southern California
Authorized official Calderon, Gloria
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2013
Last updated May 27th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063842334 NPPES
Utah MEDICAID EFF. 1/6/14

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