Molina Healthcare Of California
Family Medicine in Moreno Valley, CA. Organization (NPI-2).
NPI number1295035251
StatusActive
Last updated in NPPESDec 6, 2017
Details
- NPI
- 1295035251
- Entity type
- Organization (NPI-2)
- Legal business name
- Molina Healthcare Of California
- Organization subpart
- No
- Enumeration date
- Oct 25, 2010
- Last updated
- Dec 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | CA | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
24853 Alessandro BlvdMoreno Valley, CA 92553-6102
Phone 951-571-8518 · Fax 877-778-9427
Mailing address
200 OceangateSuite 100
Long Beach, CA 90802-4317
Phone 562-499-6191 · Fax 562-499-6171
Authorized official
Matthew Schueren
V.P. Finance
8885620544
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