Providence Medical Foundation in Brea - Family Medicine
Providence Medical Foundation - NPI 1871607762
Providence Medical Foundation is a Family Medicine in Brea, California. Providence Medical Foundation practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Providence Medical Foundation is 1871607762. The last update date is 2021-05-13.
Providence Medical Foundation's current location address is 955 W Imperial Hwy Ste 110, Brea, California. You can contact this provider via phone number 7144494900. The mailing address for Providence Medical Foundation is 955 W Imperial Hwy Ste 110, Brea, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Medical Foundation |
|---|---|
| Address | 955 W Imperial Hwy Ste 110, Brea, California |
| Phone Number | 7144494900 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ADMI |
|---|---|
| Authorized Official Name | Duplechan A Jill |
| Telephone Number | 7143477790 |
NPI Number Detail
| NPI Number | 1871607762 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2021-05-13 |
Provider Mailing Address Detail
| Address | 955 W Imperial Hwy Ste 110 |
|---|---|
| City | Brea |
| State | California (CA) |
| Post Code | 928213814 |
| Phone Number | 7144494900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0062054 | CA | -- | |
| GR0062057 | CA | -- | |
| GR0062056 | CA | -- | |
| GR0062055 | CA | -- | |
| GR006205A | CA | -- | |
| GR0062053 | CA | -- | |
| LAB76828F | CA | -- | |
| GR0062050 | CA | -- | |
| GR0062052 | CA | -- | |
| GR0062058 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Providence Medical Foundation by the Centers for Medicare & Medicaid Services?
The Providence Medical Foundation has been issued the NPI (National Provider Identifier) 1871607762. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Providence Medical Foundation is physically located?
The Providence Medical Foundation is situated at the following address: 955 W Imperial Hwy Ste 110, Brea, CA 928213814.
What is the area of specialization for Providence Medical Foundation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Providence Medical Foundation is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Providence Medical Foundation receive its 1871607762 assignment from the Centers for Medicare & Medicaid Services?
The Providence Medical Foundation was assigned its 1871607762 by the Centers for Medicare & Medicaid Services on 2006-08-18.
When was the information regarding Providence Medical Foundation most recently updated?
The details pertaining to the Providence Medical Foundation, including its address, specialty, and other relevant information, were last refreshed on 2021-05-13.
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