Golden Shore Medical Group

LBN: Joseph M Molina Md Professional Corporation - Southern California
Golden Shore Medical Group is an health care organization with primary practice located at 14544 7Th St , Victorville CA 92395-4214. The organization recently has 3 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. 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 (626) 346-2455.

Contact Information

Primary practice address
14544 7Th St Victorville CA 92395-4214
Phone: (562) 499-6191
Fax: (562) 499-6191
Website:
Map and Directions
Authorized official contact:
Name: Calderon, Gloria
Phone: (626) 346-2455

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

Profile Details

NPI number 1518300912
LBN Legal business name Joseph M Molina Md Professional Corporation - Southern California
DBA Doing business as Golden Shore Medical Group
Authorized official Calderon, Gloria
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2013
Last updated Feb 7th, 2018 - about 6 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 1518300912 NPPES
California Other DU5182-EFF 8/5/13 RAILROAD MEDICARE
California MEDICAID EFF: 10/21/13 RAILROAD MEDICARE

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