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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 (PRESIDENT, AFC)
(626) 346-2455
Entity
Organization
Contact information
Practice address
6339 MACK RD, SACRAMENTO, CA 95823-4655
(916) 585-7912
(877) 479-7101
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
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EFFECTIVE 1/5/15
—
CA
Enumeration date
06/05/2014
Last updated
02/07/2018
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