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Organization
MOLINA HEALTHCARE OF CALIFORNIA
Active
Organization
MOLINA HEALTHCARE OF CALIFORNIA
Active
Other names
Molina Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CALDERON (VP CLINIC OPERATIONS)
(888) 562-5442
Entity
Organization
Contact information
Practice address
44216 10TH ST W, LANCASTER, CA 93534-4134
(661) 723-7416
(661) 723-9975
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
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR004265B
—
CA
Enumeration date
08/19/2006
Last updated
01/20/2011
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