Organization
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA MOLI
Active
Other names
Molina Medical Group of Southern California
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CALDERON (PRESIDENT AFC)
(562) 491-7053
Entity
Organization
Contact information
Practice address
7317 CENTRAL NE, ALBUQUERQUE, NM 87108-2015
(562) 499-6191
(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
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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