Organization
MOLINA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CHAMBERS (PRESIDENT)
(800) 526-8196
Entity
Organization
Contact information
Practice address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
(562) 491-7090
Mailing address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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