PROVIDENCE MEDICAL FOUNDATION

MISSION VIEJO, CA
NPI1427305960
Former Legal Business NameST JOSEPH HERITAGE HEALTHCARE
Former Legal Business NameST JUDE HOSPITAL YORBA LINDA
Entity TypeOrganization
Authorized ContactJILL A DUPLECHAN
Chief Administrative Officer
714-347-7790
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
Enumeration Date2012-08-14
Last Update Date2021-05-05
Business Address
PROVIDENCE MEDICAL FOUNDATION
26522 LA ALAMEDA SUITE 120
MISSION VIEJO, CA 92691-6330
Phone number: 949-364-9631
Mailing Address
PROVIDENCE MEDICAL FOUNDATION
200 W CENTER STREET PROMENADE STE 300
ANAHEIM, CA 92805-3960
Phone number: 714-449-4800