Provider First Line Business Practice Location Address:
540 E ARTESIA BLVD
Provider Second Line Business Practice Location Address:
MOLINA MEDICAL CENTERS
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90805-1476
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-491-7085
Provider Business Practice Location Address Fax Number:
562-499-6171
Provider Enumeration Date:
07/03/2006