| Molina Medical Centers | |
|
4354 Latham St #100 Riverside CA 92501-1777 | |
| (951) 787-1101 | |
| (951) 787-0719 |
| Full Name | Molina Medical Centers |
|---|---|
| Speciality | Family Medicine |
| Location | 4354 Latham St, Riverside, California |
| Authorized Official Name and Position | Edward Kim (PRESIDENT) |
| Authorized Official Contact | 5624996191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Medical Centers 200 Oceangate #100 Long Beach CA 90802-4317 Ph: (562) 499-6191 | Molina Medical Centers 4354 Latham St #100 Riverside CA 92501-1777 Ph: (951) 787-1101 |
| NPI Number | 1588779805 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588779805 | NPI | - | NPPES |
| GR004265C | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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