PROVIDENCE MEDICAL FOUNDATION

ANAHEIM, CA
NPI1609925957
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 Taxonomy207Q00000X Family Medicine
Enumeration Date2007-01-09
Last Update Date2021-09-27
Business Address
PROVIDENCE MEDICAL FOUNDATION
200 W CENTER STREET PROMENADE STE 100
ANAHEIM, CA 92805-3960
Phone number: 714-449-4841
Mailing Address
PROVIDENCE MEDICAL FOUNDATION
200 W CENTER STREET PROMENADE STE 300
ANAHEIM, CA 92805-3960
Phone number: 714-449-4841