| Molina Medical Group Of Southern Ca | |
|
1714 Saint Michaels Dr #1 Santa Fe NM 87505-7617 | |
| (505) 490-4042 | |
| (877) 846-3680 |
| Full Name | Molina Medical Group Of Southern Ca |
|---|---|
| Speciality | Family Medicine |
| Location | 1714 Saint Michaels Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Gloria Calderon (VICE PRESIDENT CLINIC OPERATIONS) |
| Authorized Official Contact | 5624996191 |
| 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 1714 Saint Michaels Dr #1 Santa Fe NM 87505-7617 Ph: (505) 490-4042 |
| NPI Number | 1801177944 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 06/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801177944 | NPI | - | NPPES |
| 72035005 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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Santa Fe Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350 Fax: 505-955-8763 | |
Axces Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Harkle Rd Ste B, Santa Fe, NM 87505 Phone: 505-207-8078 Fax: 505-207-8082 | |
Camino Entrada After Hours Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2590 Camino Entrada, Santa Fe, NM 87507 Phone: 505-913-3300 Fax: 505-913-3301 | |
Joshua Brown Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Hospital Dr Ste 200, Santa Fe, NM 87505 Phone: 505-982-4276 Fax: 505-983-7571 | |
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