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 1151 E Walnut St , Ontario CA 91761-6155. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Joseph M Molina Md Professional Corporation-Southern California can be contacted via phone (909) 467-0797, or through Calderon, Gloria via phone (626) 346-2455.
Contact Information
Primary practice address
1151 E Walnut St
Ontario CA 91761-6155
Phone: (909) 467-0797
Fax: (877) 778-8097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | California | |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | California |
Profile Details
| NPI number | 1568734267 |
|---|---|
| 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 | Jan 27th, 2012 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568734267 | NPPES |
| California | MEDICAID | APPROVED EFF:1/31/12 | |
| California | Other | DU4034-EFF. 3/10/12 | |
| California | Other | APPROVED EFF:1/31/12 |
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