1871607762 PROVIDENCE MEDICAL FOUNDATION

Family Medicine Physician

Active

Basic Information

Organization Name
PROVIDENCE MEDICAL FOUNDATION
Enumeration Date
August 18, 2006
Last Update
March 17, 2025
Authorized Official
JILL A DUPLECHAN
CHIEF ADMINISTRATIVE OFFICER
Phone: (714) 347-7790

Practice Location

Address
955 W IMPERIAL HWY STE 110
BREA, CA 928213814
Phone
(714) 449-4900

Mailing Address

Address
200 W CENTER STREET PROMENADE STE 300
ANAHEIM, CA 928053960
Phone
(714) 449-4841

Specialties & Taxonomies

Specialty Code Classification License State Primary
Obstetrics & Gynecology Physician
 207V00000X Obstetrics & Gynecology N/A N/A No
Radiology Clinic/Center
Radiology
 261QR0200X Clinic/Center N/A N/A No
Oxygen Equipment & Supplies (DME)
Oxygen Equipment & Supplies
 332BX2000X Durable Medical Equipment & Medical Supplies 091052001 CA No
Family Medicine Physician
 207Q00000X Family Medicine N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
GR0062058 05 CA N/A
LAB76828F 05 CA N/A
GR0062050 05 CA N/A
GR0062051 05 CA N/A
GR0062053 05 CA N/A
GR0062056 05 CA N/A
GR0062059 05 CA N/A
GR0062057 05 CA N/A
GR006205A 05 CA N/A
GR0062054 05 CA N/A
GR0062055 05 CA N/A
GR0062052 05 CA N/A

Additional Practice Locations

1100 Trancas St Ste 209
Napa, CA 945582909

Phone: (707) 251-1850

805 W La Veta Ave Ste 101
Orange, CA 928683928

Phone: (714) 997-9595

1140 W La Veta Ave Ste 770
Orange, CA 928684229

Phone: (714) 543-5555

1140 W La Veta Ave Ste 430
Orange, CA 928684226

Phone: (714) 543-5555

1095 Irvine Blvd
Tustin, CA 927803526

Phone: (714) 505-7110

478 S Anaheim Hills Rd
Anaheim, CA 928074241

Phone: (714) 282-5437

2501 E Chapman Ave
Orange, CA 928693204

Phone: (714) 628-3230

845 W La Veta Ave Ste 108
Orange, CA 928683930

Phone: (714) 693-2600

Frequently Asked Questions

What is PROVIDENCE MEDICAL FOUNDATION's NPI number?
PROVIDENCE MEDICAL FOUNDATION's NPI number is 1871607762.
Which doctor has NPI number 1871607762?
The doctor with NPI number 1871607762 is PROVIDENCE MEDICAL FOUNDATION.
What is PROVIDENCE MEDICAL FOUNDATION's practice address?
PROVIDENCE MEDICAL FOUNDATION's practice address is 955 W IMPERIAL HWY STE 110, BREA, CA, 928213814.
Which doctor practices at 955 W IMPERIAL HWY STE 110, BREA, CA, 928213814?
PROVIDENCE MEDICAL FOUNDATION practices at 955 W IMPERIAL HWY STE 110, BREA, CA, 928213814.
What is PROVIDENCE MEDICAL FOUNDATION's mailing address?
PROVIDENCE MEDICAL FOUNDATION's mailing address is 200 W CENTER STREET PROMENADE STE 300, ANAHEIM, CA, 928053960.
What is PROVIDENCE MEDICAL FOUNDATION's phone number?
PROVIDENCE MEDICAL FOUNDATION's phone number is (714) 449-4900.
Who is (714) 449-4900?
(714) 449-4900 is the phone number for PROVIDENCE MEDICAL FOUNDATION.
What is PROVIDENCE MEDICAL FOUNDATION's specialty?
PROVIDENCE MEDICAL FOUNDATION's specialty is Family Medicine Physician.
What type of doctor is PROVIDENCE MEDICAL FOUNDATION?
PROVIDENCE MEDICAL FOUNDATION is a Family Medicine Physician.
Is PROVIDENCE MEDICAL FOUNDATION a Family Medicine?
Yes, PROVIDENCE MEDICAL FOUNDATION is a Family Medicine.
Is PROVIDENCE MEDICAL FOUNDATION still practicing?
Yes, PROVIDENCE MEDICAL FOUNDATION is currently practicing.
Is PROVIDENCE MEDICAL FOUNDATION accepting new patients?
PROVIDENCE MEDICAL FOUNDATION may be accepting new patients. Please call their office at (714) 449-4900 to inquire about availability.
Is NPI 1871607762 still active?
Yes, NPI 1871607762 is currently active.
Where does PROVIDENCE MEDICAL FOUNDATION practice?
PROVIDENCE MEDICAL FOUNDATION practices in BREA, CA.