NPI | 1780937334 |
---|---|
Doing Business As | MOLINA MEDICAL GROUP OF SOUTHERN CA |
Entity Type | Organization |
Authorized Contact | GLORIA CALDERON Vice President, Clinic Operations 562-491-7053 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2012-10-19 |
Last Update Date | 2014-06-02 |