| Molina Healthcare Of California | |
|
24853 Alessandro Blvd Moreno Valley CA 92553-6102 | |
| (951) 571-8518 | |
| (877) 778-9427 |
| Full Name | Molina Healthcare Of California |
|---|---|
| Speciality | Family Medicine |
| Location | 24853 Alessandro Blvd, Moreno Valley, California |
| Authorized Official Name and Position | Matthew Schueren (V.P. FINANCE) |
| Authorized Official Contact | 8885620544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Healthcare Of California 200 Oceangate Suite 100 Long Beach CA 90802-4317 Ph: (562) 499-6191 | Molina Healthcare Of California 24853 Alessandro Blvd Moreno Valley CA 92553-6102 Ph: (951) 571-8518 |
| NPI Number | 1295035251 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 12/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295035251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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Antonio A. Tan, Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite D, Moreno Valley, CA 92553 Phone: 951-485-2744 Fax: 951-485-2749 | |
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Joel A Pengson, Md, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23180 Hemlock Ave, Moreno Valley, CA 92557 Phone: 951-243-6460 | |
John Liquete Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553 Phone: 951-697-1150 | |
Yogendra B Patel,md,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite J, Moreno Valley, CA 92553 Phone: 951-924-9300 Fax: 951-485-0240 |