MOLINA MEDICAL CENTERS NPI 1588779805

NPI Information

  • NPI: 1588779805
  • Provider Name: MOLINA MEDICAL CENTERS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 4354 LATHAM ST
    #100
    RIVERSIDE, CA
    ZIP 92501
  • Phone: (951) 787-1101

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NPI Details

MOLINA MEDICAL CENTERS is a family medicine in Riverside, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOLINA MEDICAL CENTERS NPI is 1588779805. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4354 LATHAM ST
#100
RIVERSIDE, CA
ZIP 92501-777
Phone: (951) 787-1101
Fax: (951) 787-0719

The provider's authorized official is Edward Kim .
The authorized official title is President and has the following contact phone number (562) 499-6191.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 5/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ27063ZMEDICARE PINCALIFORNIA
2GR004265CMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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