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Organization
MOLINA HEALTHCARE OF NEW MEXICO
Active
Organization
MOLINA HEALTHCARE OF NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA M PADRON (AFC, WESTERN REGIONAL DIRECTOR CLIN)
(562) 499-6191
Entity
Organization
Contact information
Practice address
7317 CENTRAL NE, ALBUQUERQUE, NM 87108-2015
(505) 553-1630
(562) 499-6171
Mailing address
100 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
Enumeration date
02/01/2012
Last updated
02/01/2012
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