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Molina Healthcare Of California

Family Medicine in Wilmington, CA. Organization (NPI-2).

NPI number1497869887
StatusActive
Last updated in NPPESDec 6, 2017

Details

NPI
1497869887
Entity type
Organization (NPI-2)
Legal business name
Molina Healthcare Of California
Organization subpart
No
Enumeration date
Aug 19, 2006
Last updated
Dec 6, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine–CAYes

Practice location

445 E. Anaheim St
Wilmington, CA 90744-4600

Phone 310-518-6146 · Fax 877-469-1428

Mailing address

200 Oceangate, Suite 100
Long Beach, CA 90802-4317

Phone 562-499-6191 · Fax 562-499-6171

Authorized official

Matthew Schueren
V.P. Finance
8885625442

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