Provider Demographics
NPI:1366474751
Name:CESAR R. MOLINA, MD INC.
Entity Type:Organization
Organization Name:CESAR R. MOLINA, MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:RIGOBERTO
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-961-7021
Mailing Address - Street 1:525 SOUTH DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4213
Mailing Address - Country:US
Mailing Address - Phone:650-961-7021
Mailing Address - Fax:650-969-8679
Practice Address - Street 1:525 SOUTH DR
Practice Address - Street 2:SUITE 107
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4213
Practice Address - Country:US
Practice Address - Phone:650-961-7021
Practice Address - Fax:650-969-8679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ09970ZOtherBLUE SHIELD GROUP ID
CAZZZ09970ZOtherBLUE SHIELD GROUP ID