MOLINA HEALTHCARE OF CALIFORNIA NPI 1679788020

NPI Information

MOLINA HEALTHCARE OF CALIFORNIA is a non pharmacy dispensing site in Sacramento, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MOLINA HEALTHCARE OF CALIFORNIA NPI is 1679788020. The provider is registered as an organization entity type.
The provider Is Doing Business As Molina Medical Centers.

The provider's business location address is:

MOLINA MEDICAL CENTERS - SMO
7215 55TH STREET
SACRAMENTO, CA
ZIP 95823-601
Phone: (916) 399-1100
Fax: (916) 399-2061

The provider's authorized official is Dennis Wayne Evans .
The authorized official title is Strategic Planner, Research & Dev. and has the following contact phone number (562) 499-6191.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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