MOLINA ONTARIO – NPI #1295138659
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.)

MOLINA ONTARIO is a non-pharmacy dispensing site located in ONTARIO, CA. NPPES has assigned the NPI number 1295138659 to MOLINA ONTARIO on September 30, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOLINA ONTARIO” is a dba name, the actual legal business name for this organization is JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA. The primary taxonomy selected by this provider is 332900000X from the Health Care Provider Taxonomy code set, which is classified as Non-Pharmacy Dispensing Site.

The NPI profile was previously updated about 10 years ago on Jul 15, 2016. 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 ONTARIO below.

NPI Profile for
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA

NPI Number
1295138659
Enumeration Date

(more than 11 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 ONTARIO
Primary location
1151 E WALNUT ST
ONTARIO, CA 91761-6155
Phone: (858) 625-2990 Fax:
Mailing address
9276 SCRANTON RD
100
SAN DIEGO, CA 92121-7701
Phone: Fax:
Organization Subpart
Yes - MOLINA ONTARIO is subpart of another organization.
Authorized Official
KENNY HEINE
VPOF OPERATIONS
Phone: (858) 964-1506
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
332900000X
- Non-Pharmacy Dispensing Site (Primary)
CA A70911

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.