JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA


Address: 540 E. Artesia Boulevard, Long Beach, CA 90805-1476
Phone: 5624237802

JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA (NPI# 1215208962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215208962
Entity Type Organization
Organization Name JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Other Organization Name GOLDEN SHORE MEDICAL GROUP
Practice Address 540 E. Artesia Boulevard
Long Beach
CA 90805-1476
Mailing Address 625 Fair Oaks Ave Ste 270
South Pasadena
CA 91030-5801
Practice Telephone 5624237802
Practice Fax Number 8774693649
Mailing Telephone 6263462455
Mailing Fax Number 6266393005
Enumeration Date 2012-01-25
Last Update Date 2018-02-07
Authorized Official Name GLORIA CALDERON (VICE PRESIDENT, CLINIC OPERATIONS)
Authorized Official Telephone 6263462455
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics CA Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA APPROVED EFF 1/31/12 05
CA RAILROAD MEDICARE DU4032-EFF. 3/24/12 01

Other Provider/Organization Names

Other Name Type Code
Golden Shore Medical Group Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558633255 Joseph M Molina Md Professional Corporation-southern California Pediatrics 790 E Foothill Blvd, Suite D, Rialto, CA 92376-5269 2012-01-27
1982976692 Joseph M Molina Md Professional Corporation-southern California Internal Medicine 445 E. Anaheim Street, #h, Wilmington, CA 90744-4600 2012-01-27
1588935233 Joseph M Molina Md Professional Corporation-southern California Pediatrics 5549 Van Buren Blvd., Riverside, CA 92503-2068 2012-01-25
1124399860 Joseph M Molina Md Professional Corporation-southern California Pediatrics 24853 Alessandro Blvd., #4, Moreno Valley, CA 92553-6102 2012-01-25
1801177944 Joseph M Molina Md Professional Corporation-southern California Pediatrics 1714 Saint Michaels Dr, #1, Santa Fe, NM 87505-7617 2011-09-02
1508279779 Joseph M Molina Md Professional Corporation-southern California Pediatrics 7777 Sunrise Blvd, Suite 2500, Citrus Heights, CA 95610-2300 2014-06-05
1235542408 Joseph M Molina Md Professional Corporation-southern California Pediatrics 3946 Norwood Ave, Sacramento, CA 95838-3300 2014-06-05
1417360686 Joseph M Molina Md Professional Corporation-southern California Pediatrics 6339 Mack Rd, Sacramento, CA 95823-4655 2014-06-05
1326451592 Joseph M Molina Md Professional Corporation-southern California Pediatrics 3234 Marysville Blvd, Sacramento, CA 95815-1411 2014-06-05
1164835344 Joseph M Molina Md Professional Corporation-southern California Pediatrics 7215 55th St, Sacramento, CA 95823-2601 2014-06-05

Office Location

Street Address 540 E. ARTESIA BOULEVARD
City LONG BEACH
State CA
Zip Code 90805-1476

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073154928 Makando Mutanda Counselor 161 West Victoria St., Long Beach, CA 90805 2019-10-02
1326609496 Alliance Hospitalist Medical Corporation Internal Medicine 3300 E South St Ste 307, Lakewood, CA 90805 2019-06-27
1609345925 Belmont Rx LLC Pharmacy 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 2018-11-15
1508359605 Mykayla Rowley Case Manager/Care Coordinator 5190 Atlatic Ave, Long Beach, CA 90805 2018-06-13
1942728589 Marissa Liana Cabral Social Worker 5190 Atantic Ave, Long Beach, CA 90805 2017-09-04
1245757673 Karina Vasquez Licensed Vocational Nurse 1325 E Poppy St, Long Beach, CA 90805 2017-08-25
1376060277 Rebekkah Dawn Williams Counselor 100 East Market Street, Long Beach, CA 90805 2017-08-23
1871038919 Andrea Dabbs Pharmacist 3700 E. South St., Lakewood, CA 90805 2016-12-28
1164972360 Young Men's Christian Association of Greater Long Beach Health Educator 4949 Atlantic Ave, Long Beach, CA 90805 2016-10-12
1043662158 Kristina Eunjeong Chang Podiatrist 3700 E South Street, Lakewood, CA 90805 2016-07-13
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144852435 Clnica Uriel / Iradj Nazarian Md Family Medicine 1187 E Anaheim St, Long Beach, CA 90813-3662 2020-02-05
1104485887 Pmd Wellness Center Inc. Family Medicine Pmd Wellness Center Inc, 1187 E. Anaheim St., Long Beach, CA 90813-3663 2019-06-06
1699248674 Central Neighborhood Health Foundat Family Medicine 711 E Via Wanda, Long Beach, CA 90805-6526 2019-01-02
1629580337 Kathleen Legaspi Hoops Family Medicine 865 Lees Ave, Long Beach, CA 90815-5024 2017-11-02
1609222942 Prohealth Partners A Medical Group Family Medicine 3816 Woodruff Ave Ste 406, Long Beach, CA 90808-2146 2016-05-05
1083079289 Majestic Medical Clinic, Inc. Family Medicine 817 Atlantic Ave # 14, Long Beach, CA 90813-4512 2015-12-15
1336522788 Duc Nguyen Family Medicine 555 E Ocean Blvd Ste 110, Long Beach, CA 90802 2015-07-02
1356781132 Philip Kim Family Medicine 1729 Termino Ave Ste B, Long Beach, CA 90804-2121 2013-06-26
1881932168 Ronald Merton Sommer Family Medicine 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 2013-01-22
1053693275 Michael James Miech Family Medicine 6301 Marina Pacifica Dr S, Long Beach, CA 90803-3821 2011-09-13
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Competitor

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City LONG BEACH
Zip Code 90805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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