Provider Demographics
NPI:1366626467
Name:CALDERON MOLINA, JUAN SEBASTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:SEBASTIAN
Last Name:CALDERON MOLINA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4225 EXECUTIVE SQ STE 450
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-8411
Mailing Address - Country:US
Mailing Address - Phone:858-810-0000
Mailing Address - Fax:858-268-1911
Practice Address - Street 1:655 EUCLID AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2957
Practice Address - Country:US
Practice Address - Phone:619-475-4900
Practice Address - Fax:619-475-8373
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2021-01-29
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Provider Licenses
StateLicense IDTaxonomies
CT047649208M00000X
CA143845207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist