Providence Medical Foundation in Diamond Bar - General Practice
Providence Medical Foundation - NPI 1285890624
Providence Medical Foundation is a General Practice in Diamond Bar, California. Providence Medical Foundation practices all healthcare services and medical treatments related to General Practice. The NPI Number for Providence Medical Foundation is 1285890624. The last update date is 2021-05-05.
Providence Medical Foundation's current location address is 1514 Valley Vista Dr, Diamond Bar, California. You can contact this provider via phone number 9098601144 and fax number 9098608307. The mailing address for Providence Medical Foundation is 1514 Valley Vista Dr, Diamond Bar, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Medical Foundation |
|---|---|
| Address | 1514 Valley Vista Dr, Diamond Bar, California |
| Phone Number | 9098601144 |
| Fax Number | 9098608307 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ADMI |
|---|---|
| Authorized Official Name | Duplechan A Jill |
| Telephone Number | 7143477790 |
NPI Number Detail
| NPI Number | 1285890624 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2021-05-05 |
Provider Mailing Address Detail
| Address | 1514 Valley Vista Dr |
|---|---|
| City | Diamond Bar |
| State | California (CA) |
| Post Code | 917653929 |
| Phone Number | 9098601144 |
| Fax Number | 9098608307 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CG4895 | CA | RAILROAD MEDICARE PROVIDER NUM |
Post Comment/ Review Below
What is the Providence Medical Foundation's 1285890624?
The Providence Medical Foundation's NPI (National Provider Identifier) Number is 1285890624. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Providence Medical Foundation's facilities are situated?
The facilities of Providence Medical Foundation are physically located at the following address: 1514 Valley Vista Dr, Diamond Bar, CA, 917653929.
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 General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
When was the Providence Medical Foundation's 1285890624 issued?
The Providence Medical Foundation's 1285890624 was issued on 2008-08-05.
When was the information related to Providence Medical Foundation most recently updated or refreshed?
The details pertaining to the Providence Medical Foundation, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-05-05.
NPI Number: 1982607495
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