Providence Medical Foundation
NPI #1871607762 in Brea, California
Provider Information
- NPI Number
- 1871607762
- Entity Type
- Organization
- Organization Name
- Providence Medical Foundation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 955 W IMPERIAL HWY STE 110
- City
- Brea
- State
- California
- ZIP Code
- 92821-3814
- Phone
- (714) 449-4900
Authorized Official
- Name
- DONALD W. ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
| Obstetrics & Gynecology |
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
| Family Medicine |
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