PROVIDENCE MEDICAL FOUNDATION

SANTA ROSA, CA
NPI1740584473
Former Legal Business NameST JOSEPH HERITAGE HEALTHCARE
Entity TypeOrganization
Authorized ContactJILL A DUPLECHAN
Chief Administrative Officer
714-347-7790
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2011-01-10
Last Update Date2021-05-05
Business Address
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR SUITE 303
SANTA ROSA, CA 95405-4558
Phone number: 707-303-8300
Mailing Address
PROVIDENCE MEDICAL FOUNDATION
200 W CENTER STREET PROMENADE STE 300
ANAHEIM, CA 92805-3960
Phone number: 714-449-4800