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Freelancer Overview
THIS CARD IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT PROVE ELIGIBILITY FOR SERVICE. Provider: Notify the Health Plan within 24 hours of any inpatient admission at Medi-Cal the “Hospital Admission Notification” number printed on the front of this card. Molina Healthcare of California Member: Emergencies (24 Hrs): When a medical emergency might lead to Member: JAYDEN A BOULWARE disability or death, call 911 immediately or go to the nearest Emergency ID #: 95835977F Room. No prior authorization is required and there is no cost to members. Members may seek Emergency services from both participating and out of DOB: 03/18/2007 RxBIN: 022659 Provider: BENNY J GUZMAN RxPCN: 6334225 network providers. PCP Phone: (909) 613-0016 RxGRP: MediCalRx Miembro: Emergencias (24 horas): Cuando una emergencia médica pueda Provider Group: HPN - LAKESIDE MEDICAL GROUP provocar invalidez o la muerte, llame inmediatamente al 911 o acuda a la sala Hospital: MOLINA IN NETWORK HOSPITAL de emergencias más cercana. No se requiere autorización previa y no tiene ningún costo para los afiliados. Los afiliados pueden solicitar servicios de emergencia tanto a proveedores participantes como a proveedores fuera de Member Services: (888) 665-4621 la red. Eligibility Info: (800) 357-0172 24-Hour Nurse Help Line: (888) 275-8750 Remit Claims to: Molina Healthcare of California Para Enfermera En Español: (866) 648-3537 P.O. Box 22702, Long Beach, CA 90801 RX Questions: Medi-Cal Rx (800) 977-2273 Hospital Admiss
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