Organization
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Active
Other names
Molina Medical Group of Southern California
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CALDERON (VICE PRESIDENT, CLINIC OPERATIONS)
(562) 491-7053
Entity
Organization
Contact information
Practice address
3322 BROADWAY, SUITE 200, EVERETT, WA 98201-4425
(425) 249-4922
(877) 860-2284
Mailing address
200 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
—
WA
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
01/27/2012
Last updated
03/28/2014
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