Individual
ROGER MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
609 E. ORANGEBURG AVENUE, SUITE 102, MODESTO, CA 95350-5512
(209) 526-1721
(209) 526-1740
Mailing address
1700 N. CHRISMAN ROAD, TRACY, CA 95304-9314
(209) 526-1721
(209) 526-1740
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO0057
CA
224P00000X
Prosthetist
Primary
CPO00577
CA
225000000X
Orthotic Fitter
CPO0057
CA
Other
Enumeration date
12/11/2008
Last updated
02/10/2012
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