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 190 E Highland Ave , San Bernardino CA 92404-3658. 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) 882-4788, or through Calderon, Gloria via phone (626) 346-2455.

Contact Information

Primary practice address
190 E Highland Ave San Bernardino CA 92404-3658
Phone: (909) 882-4788
Fax: (877) 778-9424
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 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California

Profile Details

NPI number 1972875680
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972875680 NPPES
California MEDICAID APPROVED EFF 1/31/12
California Other DU4034-EFF 3/11/12

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