Molina Medical Centers

LBN: Molina Healthcare Of California
Molina Medical Centers is an health care organization with primary practice located at Molina Medical Centers - Smo 954 Sacramento Avenue, W. Sacramento CA 95605-1904. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Molina Healthcare Of California can be contacted via phone (916) 373-1495, or through Evans, Dennis Wayne via phone (562) 499-6191.

Contact Information

Primary practice address
Molina Medical Centers - Smo 954 Sacramento Avenue W. Sacramento CA 95605-1904
Phone: (916) 373-1495
Fax: (916) 373-0954
Website:
Map and Directions
Authorized official contact:
Name: Evans, Dennis Wayne
Phone: (562) 499-6191

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1952516288
LBN Legal business name Molina Healthcare Of California
DBA Doing business as Molina Medical Centers
Authorized official Evans, Dennis Wayne
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2007
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952516288 NPPES
California MEDICAID GR004265M

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