Provider Demographics
NPI:1275249278
Name:CA HORMONES PC
Entity Type:Organization
Organization Name:CA HORMONES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-524-9045
Mailing Address - Street 1:424 32ND ST STE F
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3876
Mailing Address - Country:US
Mailing Address - Phone:949-524-9045
Mailing Address - Fax:
Practice Address - Street 1:424 32ND ST STE F
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3876
Practice Address - Country:US
Practice Address - Phone:949-524-9045
Practice Address - Fax:949-239-1648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty