Molina Healthcare Of Californa
Family Medicine in Corona, CA. Organization (NPI-2).
NPI number1891200366
StatusActive
Last updated in NPPESDec 6, 2017
Details
- NPI
- 1891200366
- Entity type
- Organization (NPI-2)
- Legal business name
- Molina Healthcare Of Californa
- Organization subpart
- No
- Enumeration date
- Dec 6, 2017
- Last updated
- Dec 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
107 N McKinley StCorona, CA 92879-6561
Phone 951-358-0141 · Fax 866-778-8365
Mailing address
200 Oceangate Ste 100Long Beach, CA 90802-4317
Phone 888-562-5442 · Fax 562-499-6171
Authorized official
Matthew Schueren
V.P. Finance
8885625442
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