GOLDEN SHORE MEDICAL GROUP – NPI #1710478177
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

GOLDEN SHORE MEDICAL GROUP is a provider located in ONTARIO, CA. NPPES has assigned the NPI number 1710478177 to GOLDEN SHORE MEDICAL GROUP on May 22, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GOLDEN SHORE MEDICAL GROUP” is a dba name, the actual legal business name for this organization is JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 8 years ago on Jun 16, 2018. 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 GOLDEN SHORE MEDICAL GROUP below.

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

NPI Number
1710478177
Enumeration Date

(more than 8 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): GOLDEN SHORE MEDICAL GROUP
Other name(s)
All associated names:
Doing Business As (dba)
GOLDEN SHORE MEDICAL GROUP
Other Name
Golden Shore Medical Obstetrics
Primary location
1151 E WALNUT ST
ONTARIO, CA 91761
Phone: (909) 467-0797 Fax: (877) 778-8097
Mailing address
625 FAIR OAKS AVE STE 270
SOUTH PASADENA, CA 91030-5801
Phone: (626) 346-2455 Fax: (626) 639-3005
Organization Subpart
No
Authorized Official
KAREN HENKENIUS
MANAGER
Phone: (626) 346-1239
Updated
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
207V00000X
- Obstetrics & Gynecology (Primary)

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.