Molina Healthcare Of California | |
17500 Foothill Blvd Ste A2 Fontana CA 92335-3798 | |
(908) 428-0170 | |
(877) 778-9312 |
Full Name | Molina Healthcare Of California |
---|---|
Speciality | Family Medicine |
Location | 17500 Foothill Blvd Ste A2, Fontana, California |
Authorized Official Name and Position | Matthew Schueren (V.P. FINANCE) |
Authorized Official Contact | 8885625442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Molina Healthcare Of California 200 Oceangate #100 Long Beach CA 90802-4317 Ph: (562) 499-6191 | Molina Healthcare Of California 17500 Foothill Blvd Ste A2 Fontana CA 92335-3798 Ph: (908) 428-0170 |
NPI Number | 1689788085 |
---|---|
Provider Enumeration Date | 08/19/2006 |
Last Update Date | 12/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689788085 | NPI | - | NPPES |
GR004265D | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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Alav Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16465 Sierra Lakes Pkwy, Ste 220, Fontana, CA 92336 Phone: 909-434-1123 Fax: 909-261-8082 | |
Vituity Physician Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16888 Baseline Ave, Fontana, CA 92336 Phone: 855-422-8029 | |
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