| NPI | 1700158417 |
|---|---|
| Doing Business As | MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA |
| Entity Type | Organization |
| Authorized Contact | GLORIA CALDERON Vice President Clinic Operations 562-491-7053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2013-06-18 |