| Molina Medical Centers | |
|
44216 10th St W Lancaster CA 93534-4134 | |
| (661) 723-7416 | |
| (661) 723-9975 |
| Full Name | Molina Medical Centers |
|---|---|
| Speciality | Family Medicine |
| Location | 44216 10th St W, Lancaster, 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 Medical Centers 200 Oceangate, Suite 100 Long Beach CA 90802-4317 Ph: (562) 499-6191 | Molina Medical Centers 44216 10th St W Lancaster CA 93534-4134 Ph: (661) 723-7416 |
| NPI Number | 1508970955 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 01/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508970955 | NPI | - | NPPES |
| GR004265B | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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