MEDICARE: ALFONSO MOLINA JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207RH0003X	Hematology & Oncology Physician	A186653	CA

General Provider Information

NPI Number	:	1265061345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFONSO MOLINA JR. MD

Provider Business Mailing Address
First Line	:	300 PASTEUR DR
Second Line	:
City	:	STANFORD
State	:	CA
Zip	:	94305-2200
Country	:	US
Telephone Number	:	650-723-6661
Fax Number	:	650-498-6205

Provider Business Practice Location Address
First Line	:	400 PARNASSUS AVE FL 4
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2202
Country	:	US
Telephone Number	:	415-353-2421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2020
Last Update Date	:	06/03/2026

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