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NPI Code Detail

MEDICARE: DR. PHILIP MARTIN MOLINA DPT

MEDICARE: DR. PHILIP MARTIN MOLINA DPT
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
12251X0800XOrthopedic Physical TherapistPT 16971CA

General Provider Information

NPI Number : 1336347855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP MARTIN MOLINA DPT
Provider Business Mailing Address
First Line : 4971 PERSIMMON LN
Second Line :
City : IRVINE
State : CA
Zip : 92612-2814
Country : US
Telephone Number : 714-658-7861
Fax Number :
Provider Business Practice Location Address
First Line : 2151 N HARBOR BLVD
Second Line : SUITE 3100
City : FULLERTON
State : CA
Zip : 92835-3801
Country : US
Telephone Number : 714-992-3000
Fax Number : 714-447-6534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2007
Last Update Date : 07/08/2007

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Directions to “ DR. PHILIP MARTIN MOLINA DPT” Practice Location

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