| NPI | 1780005140 |
|---|---|
| Doing Business As | MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA |
| Entity Type | Organization |
| Authorized Contact | GLORIA CALDERON VP, Clinic Operations 562-499-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-05-27 |