St Joseph Heritage Healthcare

LBN: Providence Medical Foundation
St Joseph Heritage Healthcare is an health care organization with primary practice located at 955 W Imperial Hwy Ste 110 , Brea CA 92821-3814. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Suppliers / Oxygen Equipment & Supplies. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Providence Medical Foundation can be contacted via phone (714) 449-4900, or through Duplechan, Jill A via phone (714) 347-7790.

Contact Information

Primary practice address
955 W Imperial Hwy Ste 110 Brea CA 92821-3814
Phone: (714) 449-4900
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 / Obstetrics & Gynecology 207V00000X
Suppliers / Oxygen Equipment & Supplies 332BX2000X 091052001 California

Profile Details

NPI number 1871607762
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 18th, 2006
Last updated May 13th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871607762 NPPES
California MEDICAID GR0062054
California MEDICAID GR0062057
California MEDICAID GR0062056
California MEDICAID GR0062055
California MEDICAID GR006205A
California MEDICAID GR0062053
California MEDICAID LAB76828F
California MEDICAID GR0062050
California MEDICAID GR0062052
California MEDICAID GR0062058
California MEDICAID GR0062051
California MEDICAID GR0062059

Popular Providers