# MOLINA HEALTHCARE OF CALIFORNA

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

## Provider details

- **NPI number:** 1659886125
- **Authorized official:** MATTHEW SCHUEREN (V.P. FINANCE)
- **Authorized official phone:** (888) 562-5442

## Contact information

- **Practice address:** 14544 7TH ST, VICTORVILLE, CA 92395-4214
- **Practice address phone:** (760) 245-1025
- **Practice address fax:** (877) 469-8906
- **Mailing address:** 200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
- **Mailing address phone:** (888) 562-5442
- **Mailing address fax:** (562) 499-6171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 12/06/2017
- **Last updated:** 12/06/2017