JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA (NPI# 1265836738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265836738 |
Entity Type | Organization |
Organization Name | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA |
Other Organization Name | MOLINA EAST LONG BEACH |
Practice Address |
1627 E Anaheim St Long Beach CA 90813-3809 |
Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
Practice Telephone | 8776654623 |
Enumeration Date | 2014-10-13 |
Last Update Date | 2015-04-23 |
Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
Authorized Official Telephone | 8589641506 |
Is Organization Subpart | Y |
Parent Organization Name | MEDVANTX, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | G79542 | CA | Suppliers |
Other Name | Type Code |
---|---|
Molina East Long Beach | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336527597 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2015-05-08 |
1154709301 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 7777 Sunrise Blvd, Suite 2500, Citrus Heights, CA 95610-2300 | 2015-05-08 |
1699153858 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 6339 Mack Rd, Sacramento, CA 95823-4655 | 2015-05-08 |
1881072049 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2015-05-08 |
1720465206 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 190 E Highland Ave, San Bernardino, CA 92404-3658 | 2015-05-04 |
1538546015 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 1181 N Mount Vernon Ave, Colton, CA 92324-2574 | 2015-05-04 |
1134506769 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 14544 7th St, Victorville, CA 92395-4214 | 2015-05-04 |
1184001661 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 5549 Van Buren Blvd, Riverside, CA 92503-2068 | 2015-05-04 |
1164809794 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 24853 Alessandro Blvd, Suite 4, Moreno Valley, CA 92553-6102 | 2015-05-04 |
1124405758 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 790 E Foothill Blvd, Rialto, CA 92376-5269 | 2015-05-04 |
Street Address |
1627 E ANAHEIM ST |
City | LONG BEACH |
State | CA |
Zip Code | 90813-3809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356948723 | Michael Thanh Luong | Physician Assistant | 1627 E Anaheim St, Long Beach, CA 90813-3809 | 2020-10-07 |
1447865415 | Southern California Medical Center, Inc. | Clinic/Center | 1627 E Anaheim St, Long Beach, CA 90813-3809 | 2020-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
Find all providers in zip 90813 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023487634 | Kim Foot and Ankle Medical Centers of Long Beach, Inc | Non-Pharmacy Dispensing Site | 701 E 28th St Ste 111, Long Beach, CA 90806-2715 | 2015-09-24 |
1952780124 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 821 Pacific Ave, Long Beach, CA 90813-4225 | 2015-05-21 |
1275792657 | Health Care Partners, Inc. | Non-Pharmacy Dispensing Site | 3932 Long Beach Blvd, B, Long Beach, CA 90807-2615 | 2008-06-02 |
1861032708 | K Wellness Medical Center Corporation | Non-Pharmacy Dispensing Site | 701 E 28th St Ste 100, Long Beach, CA 90806-2769 | 2020-01-08 |
1215579222 | Advanced Community Medical Care Corp | Non-Pharmacy Dispensing Site | 701 E 28th St Ste 100, Long Beach, CA 90806-2769 | 2019-10-10 |
1811442601 | Complete Women Care | Non-Pharmacy Dispensing Site | 3711 Long Beach Blvd, Suite 700, Long Beach, CA 90807-3315 | 2016-08-22 |
1407213507 | Advanced Foot and Ankle Center, Inc. | Non-Pharmacy Dispensing Site | 2840 Long Beach Blvd, Suite 205, Long Beach, CA 90806-1516 | 2016-01-20 |
1851769012 | Justice Rx Group, LLC | Non-Pharmacy Dispensing Site | 2370 Long Beach Blvd, Long Beach, CA 90806-3260 | 2015-09-04 |
1932583085 | Long Beach Medispa Management, Inc. | Non-Pharmacy Dispensing Site | 2370 Long Beach Blvd, Long Beach, CA 90806-3260 | 2015-07-17 |
1083017834 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 540 E Artesia Blvd, Long Beach, CA 90805-1476 | 2014-10-07 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90813 |
Please comment or provide details below to improve the information on JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA.
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.