MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA – NPI #1093130080
Family Medicine

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.

MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA is a provider located in LONG BEACH, CA. NPPES has assigned the NPI number 1093130080 to MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA on February 27, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA” is a dba name, the actual legal business name for this organization is JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on Jul 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA below.

NPI Profile for
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA

NPI Number
1093130080
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA
Doing Business As (dba): MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA
Primary location
2683 PACIFIC AVE
LONG BEACH, CA 90806-2610
Phone: (562) 997-2350 Fax: (562) 989-1021
Mailing address
200 OCEANGATE
SUITE 100
LONG BEACH, CA 90802-4317
Phone: (562) 499-6191 Fax: (562) 499-6171
Organization Subpart
No
Authorized Official
GLORIA CALDERON
VP, CLINIC OPERATIONS
Phone: (562) 499-6191
Updated
Identifiers

Identifiers for MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA1093130080-EFF4/3/15
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208000000X
- Pediatrics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.