| Molina Medical Group Of New Mexico, Pc | |
|
7317 Central Ave Ne Albuquerque NM 87108-2015 | |
| (505) 200-3320 | |
| (877) 860-2279 |
| Full Name | Molina Medical Group Of New Mexico, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7317 Central Ave Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Gloria Calderon (VP, CLINIC OPERATIONS) |
| Authorized Official Contact | 5624996191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Medical Group Of New Mexico, Pc 200 Oceangate Suite 100 Long Beach CA 90802-4317 Ph: (505) 200-3320 | Molina Medical Group Of New Mexico, Pc 7317 Central Ave Ne Albuquerque NM 87108-2015 Ph: (505) 200-3320 |
| NPI Number | 1366877581 |
|---|---|
| Provider Enumeration Date | 09/06/2013 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366877581 | NPI | - | NPPES |
| 06939074-EFF.1/21/14 | Medicaid | NM | |
| DV3487-EFF 1/1/14 | Other | NM | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (California) | Secondary |
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