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NPI Code Detail

MEDICARE: MOLINA HEALTHCARE OF NEVADA, INC

MEDICARE: MOLINA HEALTHCARE OF NEVADA, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance Organization

General Provider Information

NPI Number : 1932871316
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOLINA HEALTHCARE OF NEVADA, INC
Provider Business Mailing Address
First Line : 8329 W SUNSET RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8329 W SUNSET RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2202
Country : US
Telephone Number : 562-233-1076
Fax Number :
Authorized Official
Title or Position : CEO
Name : MICHAEL EASTERDAY
Credential :
Telephone Number : 562-233-1076
Provider Enumeration Date : 10/04/2021
Last Update Date : 10/04/2021

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Directions to “MOLINA HEALTHCARE OF NEVADA, INC ” Practice Location

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