| Molina Healthcare Of California | |
|
887 E Second St Pomona CA 91766-2009 | |
| (909) 620-7769 | |
| (877) 778-6944 |
| Full Name | Molina Healthcare Of California |
|---|---|
| Speciality | Family Medicine |
| Location | 887 E Second St, Pomona, 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 887 E Second St Pomona CA 91766-2009 Ph: (909) 620-7769 |
| NPI Number | 1932214228 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 12/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932214228 | NPI | - | NPPES |
| GR0042656 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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