# MOLINA MEDICAL CENTERS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548375777
- **Authorized official:** DENNIS WAYNE EVANS (STRATEGIC PLANNER, RESEARCH AND DEV)
- **Authorized official phone:** (562) 499-6191

## Contact information

- **Practice address:** 2370 FRUITRIDGE RD, SACRAMENTO, CA 95822-3148
- **Practice address phone:** (916) 399-1600
- **Practice address fax:** (916) 399-2064
- **Mailing address:** ONE GOLDEN SHORE, MOLINA MEDICAL CENTERS SMO, LONG BEACH, CA 90802-4202
- **Mailing address phone:** (562) 499-6191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 08/22/2020