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Joseph M Molina Md Professional Corporation Southern California
Non-Pharmacy Dispensing Site in Fontana, California
NPI 1912394255

Joseph M Molina Md Professional Corporation Southern California is a Non-Pharmacy Dispensing Site based in San Diego, CA. Joseph M Molina Md Professional Corporation Southern California practices in Fontana, CA. The NPI Number for Joseph M Molina Md Professional Corporation Southern California is 1912394255 and holds a License No. G45659 (California).

The current practice location address for Joseph M Molina Md Professional Corporation Southern California is 17500 Foothill Blvd, Fontana, CA and can be reached out via phone at 909-428-0170.

Location: 17500 Foothill Blvd, Fontana, CA, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912394255
Provider Name
Joseph M Molina Md Professional Corporation Southern California
Credential
Provider Entity Type
Organization
Address
17500 Foothill Blvd, Fontana, CA, 92121-1705
Phone Number
909-428-0170
Fax Number
Provider Enumeration Date
04/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17500 Foothill Blvd
City
Fontana
State
California
Zip
92335-3736
Phone Number
909-428-0170
Fax Number
person
Provider Business Mailing Address Details
Address
17500 Foothill Blvd
City
Fontana
State
California
Zip
92335-3736
Phone Number
909-428-0170
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
G45659 (California)
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.)
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