<Unavail>

LBN: Providence Medical Foundation
<Unavail> is an health care organization with primary practice located at 200 W Center Street Promenade , Anaheim CA 92805-3960. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Providence Medical Foundation can be contacted via phone (147) 123-5007, or through Anderson, Donald W. via phone (425) 358-9786.

Contact Information

Primary practice address
200 W Center Street Promenade Anaheim CA 92805-3960
Phone: (147) 123-5007
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W.
Phone: (425) 358-9786

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1639715709
LBN Legal business name Providence Medical Foundation
DBA Doing business as <Unavail>
Authorized official Anderson, Donald W.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2019
Last updated Jan 6th, 2026 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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