Organization
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA
Active
Other names
Golden Shore Medical Obstetrics, Golden Shore Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HENKENIUS (MANAGER)
(626) 346-1239
Entity
Organization
Contact information
Practice address
1151 E WALNUT ST, ONTARIO, CA 91761
(909) 467-0797
(877) 778-8097
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
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
06/16/2018
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