NPI | 1083017834 |
---|---|
Doing Business As | MOLINA NORTH LONG BEACH |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA 20A10903) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2015-12-03 |