JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA


Address: 1627 E Anaheim St, Long Beach, CA 90813-3809
Phone: 8776654623

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).

Provider Overview

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.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site G79542 CA Suppliers

Other Provider/Organization Names

Other Name Type Code
Molina East Long Beach Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1627 E ANAHEIM ST
City LONG BEACH
State CA
Zip Code 90813-3809

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City LONG BEACH
Zip Code 90813

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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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