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Organization

JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA

Active
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Organization

JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA

Active
Other names
Molina Medical Group of Southern California
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA CALDERON (VP, CLINIC OPERATIONS)
(562) 499-6191
Entity
Organization

Contact information

Practice address
2683 PACIFIC AVE, LONG BEACH, CA 90806-2610
(562) 997-2350
(562) 989-1021
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093130080-EFF4/3/15
—
CA
Enumeration date
02/27/2014
Last updated
07/08/2015
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