Molina Healthcare Of California
LBN: Molina Healthcare Of California
Molina Healthcare Of California is an health care organization with primary practice located at 190 E Highland Ave , San Bernardino CA 92404-3658. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Molina Healthcare Of California can be contacted via phone (909) 882-4788, or through Schueren, Matthew via phone (888) 562-5442.
Contact Information
Primary practice address
190 E Highland Ave
San Bernardino CA 92404-3658
Phone: (909) 882-4788
Fax: (877) 860-7268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | California | |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1861507006 |
|---|---|
| LBN Legal business name | Molina Healthcare Of California |
| DBA Doing business as | |
| Authorized official | Schueren, Matthew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Dec 6th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861507006 | NPPES |
| California | MEDICAID | GR004265U |
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