Provider Demographics
NPI:1154420917
Name:MOLINARI, MICHAEL D (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:D
Last Name:MOLINARI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:341 MAGNOLIA AVENUE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879
Mailing Address - Country:US
Mailing Address - Phone:951-734-9930
Mailing Address - Fax:951-734-9692
Practice Address - Street 1:341 MAGNOLIA AVENUE
Practice Address - Street 2:SUITE 207
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879
Practice Address - Country:US
Practice Address - Phone:951-734-9930
Practice Address - Fax:951-734-9692
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2009-10-28
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Provider Licenses
StateLicense IDTaxonomies
CAA24798207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A247980Medicaid
00A247980Medicare ID - Type Unspecified
CA00A247980Medicaid