Healthcare Provider Details

I. General information

NPI: 1366474751
Provider Name (Legal Business Name): CESAR R. MOLINA, MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 SOUTH DR SUITE 107
MOUNTAIN VIEW CA
94040-4213
US

IV. Provider business mailing address

525 SOUTH DR SUITE 107
MOUNTAIN VIEW CA
94040-4213
US

V. Phone/Fax

Practice location:
  • Phone: 650-961-7021
  • Fax: 650-969-8679
Mailing address:
  • Phone: 650-961-7021
  • Fax: 650-969-8679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CESAR RIGOBERTO MOLINA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 650-961-7021