PROVIDENCE MEDICAL FOUNDATION

DIAMOND BAR, CA
NPI1285890624
Former Legal Business NameST JUDE HOSPITAL YORBA LINDA
Former Legal Business NameST JOSEPH HERITAGE HEALTHCARE
Entity TypeOrganization
Authorized ContactJILL A DUPLECHAN
Chief Administrative Officer
714-347-7790
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2008-08-05
Last Update Date2021-05-05
Business Address
PROVIDENCE MEDICAL FOUNDATION
1514 VALLEY VISTA DR
DIAMOND BAR, CA 91765-3929
Phone number: 909-860-1144
Mailing Address
PROVIDENCE MEDICAL FOUNDATION
200 W CENTER STREET PROMENADE STE 300
ANAHEIM, CA 92805-3960
Phone number: 714-449-4800