| Molina Healthcare Of California | |
|
170 East Highland Ave San Bernardino CA 92404-3658 | |
| (909) 886-9073 | |
| (909) 881-3814 |
| Full Name | Molina Healthcare Of California |
|---|---|
| Speciality | Family Medicine |
| Location | 170 East Highland Ave, San Bernardino, California |
| Authorized Official Name and Position | Gloria Calderon (VP CLINIC OPERATIONS) |
| Authorized Official Contact | 5624917074 |
| 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 170 East Highland Ave San Bernardino CA 92404-3658 Ph: (909) 886-9073 |
| NPI Number | 1477860187 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 09/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477860187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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