Whalio Doctors

NPI 1760860894

Joseph M Molina MD Professional Corporation Southern Ca

Organisation Non-Pharmacy Dispensing Site Pomona, CA

Practice location

Address
887 E 2nd St, Pomona, CA 91766-2009
Phone
(909) 620-7769
Mailing address
5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name
Kenny Heine
Title
Vp of Operations
Phone
(858) 964-1506

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 93810 (CA)

Registry record

NPI
1760860894
Entity type
Organization
NPI issued
8 May 2015
Record last updated
8 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.