PROVIDENCE MEDICAL FOUNDATION

FULLERTON, CA
NPI1316243769
Former Legal Business NameST JOSEPH HERITAGE HEALTHCARE
Former Legal Business NameST JUDE HOSPITAL YORBA LINDA
Entity TypeOrganization
Authorized ContactJILL ANN DUPLECHAN
Chief Administrative Officer
714-347-7790
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2011-02-02
Last Update Date2021-06-15
Business Address
PROVIDENCE MEDICAL FOUNDATION
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Phone number: 714-626-8630
Mailing Address
PROVIDENCE MEDICAL FOUNDATION
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835-3831
Phone number: