NPI | 1801177944 |
---|---|
Doing Business As | MOLINA MEDICAL GROUP OF SOUTHERN CA |
Entity Type | Organization |
Authorized Contact | GLORIA CALDERON Vice President Clinic Operations 562-499-6191 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2011-09-02 |
Last Update Date | 2013-06-18 |