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Organization
MOLINA MEDICAL CENTERS
Active
Organization
MOLINA MEDICAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WAYNE EVANS (STRATEGIC PLANNER, RESEARCH AND DEV)
(562) 499-6191
Entity
Organization
Contact information
Practice address
3 COURT ST, WOODLAND, CA 95695-3111
(530) 668-9293
(530) 668-0231
Mailing address
ONE GOLDEN SHORE, MOLINA MEDICAL CENTERS SMO, LONG BEACH, CA 90802-4202
(562) 499-6191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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