Organization
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION- SOUTHERN CALIFORNIA
Active
Other names
Molina Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CALDERON (PRESIDENT, MMM)
(562) 499-6191
Entity
Organization
Contact information
Practice address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4302
(562) 499-6191
(562) 499-6171
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4302
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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