| Molina Medical Group | |
|
200 Oceangate Suite 100 Long Beach CA 90802-4302 | |
| (562) 499-6191 | |
| (562) 499-6171 |
| Full Name | Molina Medical Group |
|---|---|
| Speciality | Hospitalist |
| Location | 200 Oceangate, Long Beach, California |
| Authorized Official Name and Position | Gloria Calderon (PRESIDENT, MMM) |
| Authorized Official Contact | 5624996191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Medical Group 200 Oceangate Suite 100 Long Beach CA 90802-4302 Ph: (562) 499-6191 | Molina Medical Group 200 Oceangate Suite 100 Long Beach CA 90802-4302 Ph: (562) 499-6191 |
| NPI Number | 1043752371 |
|---|---|
| Provider Enumeration Date | 11/17/2016 |
| Last Update Date | 11/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043752371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 208M00000X | Hospitalist | (NU) | Primary |
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