Organization
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA
Active
Parent organization
MEDVANTX, INC.
Other names
Molina Ontario
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VPOF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
1151 E WALNUT ST, ONTARIO, CA 91761-6155
(858) 625-2990
Mailing address
9276 SCRANTON RD, 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A70911
CA
Other
Enumeration date
09/30/2014
Last updated
07/15/2016
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