| Molina Healthcare Of California | |
|
7215 55th St Sacramento CA 95823-2601 | |
| (916) 399-1100 | |
| (877) 860-2397 |
| Full Name | Molina Healthcare Of California |
|---|---|
| Speciality | Family Medicine |
| Location | 7215 55th St, Sacramento, California |
| Authorized Official Name and Position | Matthew Scheuren (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 7215 55th St Sacramento CA 95823-2601 Ph: (916) 399-1100 |
| NPI Number | 1073628202 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 12/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073628202 | NPI | - | NPPES |
| GR004265G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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