Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Active
Organization
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Active
Other names
Golden Shore Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CALDERON (VICE PRESIDENT, CLINIC OPERATIONS)
(626) 346-2455
Entity
Organization
Contact information
Practice address
24853 ALESSANDRO BLVD., #4, MORENO VALLEY, CA 92553-6102
(951) 571-8518
(877) 778-9427
Mailing address
625 FAIR OAKS AVE STE 270, SOUTH PASADENA, CA 91030-5801
(626) 346-2455
(626) 639-3005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
208000000X
Pediatrics Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPROVED EFF 1/31/12
—
CA
Enumeration date
01/25/2012
Last updated
02/07/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up