PROVIDENCE MEDICAL FOUNDATION

BREA, CA
NPI1871607762
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 Taxonomies207V00000X Obstetrics & Gynecology
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies
(Licence: CA  091052001)
Enumeration Date2006-08-18
Last Update Date2021-05-13
Business Address
PROVIDENCE MEDICAL FOUNDATION
955 W IMPERIAL HWY STE 110
BREA, CA 92821-3814
Phone number: 714-449-4900
Mailing Address
PROVIDENCE MEDICAL FOUNDATION
200 W CENTER STREET PROMENADE STE 300
ANAHEIM, CA 92805-3960
Phone number: 714-449-4841