Providence Medical Foundation
NPI #1316243769 in Fullerton, California
Provider Information
- NPI Number
- 1316243769
- Entity Type
- Organization
- Organization Name
- Providence Medical Foundation
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Feb 2, 2011
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 2141 N HARBOR BLVD STE 35000
- City
- Fullerton
- State
- California
- ZIP Code
- 92835
- Phone
- (714) 626-8630
Authorized Official
- Name
- DONALD W. ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Orthopaedic Surgery |
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