St Joseph Heritage Healthcare

LBN: Providence Medical Foundation
St Joseph Heritage Healthcare is an health care organization with primary practice located at 26522 La Alameda Suite 120, Mission Viejo CA 92691-6330. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Providence Medical Foundation can be contacted via phone (949) 364-9631, or through Duplechan, Jill A via phone (714) 347-7790.

Contact Information

Primary practice address
26522 La Alameda Suite 120 Mission Viejo CA 92691-6330
Phone: (949) 364-9631
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Duplechan, Jill A
Phone: (714) 347-7790

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1427305960
LBN Legal business name Providence Medical Foundation
DBA Doing business as St Joseph Heritage Healthcare
Authorized official Duplechan, Jill A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2012
Last updated May 5th, 2021 - about 4 years 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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