Healthcare Provider Details

I. General information

NPI: 1083193429
Provider Name (Legal Business Name): MS. CRISTINA JOCELINE MOLINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2277 N GAREY AVE
POMONA CA
91767-2330
US

IV. Provider business mailing address

2277 N GAREY AVE
POMONA CA
91767-2330
US

V. Phone/Fax

Practice location:
  • Phone: 909-962-5370
  • Fax: 909-288-5212
Mailing address:
  • Phone: 909-962-5370
  • Fax: 909-288-5212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: