| Molina Medical Group Of Southern Ca | |
|
1181 N Mount Vernon Ave Colton CA 92324-2574 | |
| (909) 498-2356 | |
| (877) 824-9080 |
| Full Name | Molina Medical Group Of Southern Ca |
|---|---|
| Speciality | Family Medicine |
| Location | 1181 N Mount Vernon Ave, Colton, California |
| Authorized Official Name and Position | Gloria Calderon (VICE PRESIDENT, CLINIC OPERATIONS) |
| Authorized Official Contact | 5624917053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Medical Group Of Southern Ca 200 Oceangate Suite 100 Long Beach CA 90802-4302 Ph: (562) 499-6191 | Molina Medical Group Of Southern Ca 1181 N Mount Vernon Ave Colton CA 92324-2574 Ph: (909) 498-2356 |
| NPI Number | 1780937334 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 06/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780937334 | NPI | - | NPPES |
| EFFECTIVE 10/21/13 | Medicaid | CA | |
| DU5182-EFF 8/5/13 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
John F. Randolph,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 North Pepper Avenue, Colton, CA 92324 Phone: 909-580-1675 Fax: 909-580-1916 | |
Molina Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Cooley Dr Ste 106, Colton, CA 92324 Phone: 909-825-8373 Fax: 909-825-3276 | |
Colton Clinica Medica Familiar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S La Cadena Dr, Colton, CA 92324 Phone: 909-219-5093 Fax: 909-219-5260 | |
Lizarraga Medical Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 W Valley Blvd, Colton, CA 92324 Phone: 909-824-3389 | |
Mt. Vernon Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 S Mount Vernon Ave, Colton, CA 92324 Phone: 909-422-8015 Fax: 909-422-0625 | |
Inland Empire Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E Washington St # 101, Colton, CA 92324 Phone: 800-418-0850 | |
Arrowhead Family Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6230 Fax: 909-580-6308 |