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Organization
MOLINA HEALTHCARE OF CALIFORNIA
Active
Organization
MOLINA HEALTHCARE OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SCHUEREN (V.P. FINANCE)
(888) 562-5442
Entity
Organization
Contact information
Practice address
MOLINA MEDICAL CENTERS - SMO, 3946 NORWOOD AVENUE, SACRAMENTO, CA 95838-3300
(916) 564-0521
(877) 860-2907
Mailing address
MOLINA MEDICAL CENTERS - SMO, ONE GOLDEN SHORE, LONG BEACH, CA 90802-4202
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR004265Q
—
CA
Enumeration date
05/11/2007
Last updated
12/06/2017
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