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 ContactDONALD W. ANDERSON
Assistant Secretary Of Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
Enumeration Date2012-08-14
Last Update Date2025-12-01
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
PO BOX 31001 - 1920
PASADENA, CA 91110-1920
Phone number: 714-449-4800