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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
GLORIA CALDERON (VP CLINIC OPERATIONS)
(888) 562-5442
Entity
Organization
Contact information
Practice address
3234 MARYSVILLE BLVD, SACRAMENTO, CA 95815-1411
(916) 646-1200
(916) 646-3385
Mailing address
200 OCEANGATE STE 100, MOLINA MEDICAL CENTERS, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR004265H
—
CA
Enumeration date
08/20/2006
Last updated
01/14/2011
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