| Molina Healthcare Of California | |
|
3234 Marysville Blvd Sacramento CA 95815-1411 | |
| (916) 646-1200 | |
| (916) 646-3385 |
| Full Name | Molina Healthcare Of California |
|---|---|
| Speciality | Family Medicine |
| Location | 3234 Marysville Blvd, Sacramento, California |
| Authorized Official Name and Position | Gloria Calderon (VP CLINIC OPERATIONS) |
| 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 Ste 100 Molina Medical Centers Long Beach CA 90802-4317 Ph: (562) 499-6191 | Molina Healthcare Of California 3234 Marysville Blvd Sacramento CA 95815-1411 Ph: (916) 646-1200 |
| NPI Number | 1841305075 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 01/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841305075 | NPI | - | NPPES |
| GR004265H | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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