PROVIDENCE MEDICAL FOUNDATION

ANAHEIM, CA
NPI1639715709
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 Date2019-11-22
Last Update Date2021-05-05
Business Address
PROVIDENCE MEDICAL FOUNDATION
200 W CENTER STREET PROMENADE
ANAHEIM, CA 92805-3960
Phone number: 147-123-5007
Mailing Address
PROVIDENCE MEDICAL FOUNDATION
200 W CENTER STREET PROMENADE STE 300
ANAHEIM, CA 92805-3960
Phone number: 714-449-4800