PROVIDENCE MEDICAL FOUNDATION

FULLERTON, CA
NPI1316243769
Former Legal Business NameST JOSEPH HERITAGE HEALTHCARE
Former Legal Business NameST JUDE HOSPITAL YORBA LINDA
Entity TypeOrganization
Authorized ContactDONALD W. ANDERSON
Assistant Secretary Of Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2011-02-02
Last Update Date2026-02-03
Business Address
PROVIDENCE MEDICAL FOUNDATION
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Phone number: 714-626-8630
Mailing Address
PROVIDENCE MEDICAL FOUNDATION
PO BOX 31001 - 1920
PASADENA, CA 91110-1920
Phone number: