Healthcare Provider Details

I. General information

NPI: 1811829633
Provider Name (Legal Business Name): NORMAN MOLINA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1923 CALLE BARCELONA STE 139
CARLSBAD CA
92009-8457
US

IV. Provider business mailing address

7560 BANNISTER LN
SAN DIEGO CA
92126-5620
US

V. Phone/Fax

Practice location:
  • Phone: 760-304-1264
  • Fax:
Mailing address:
  • Phone: 760-815-0290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number36238
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: