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Organization
PROVIDENCE MEDICAL FOUNDATION
Active
Organization
PROVIDENCE MEDICAL FOUNDATION
Active
Other names
St Jude Hospital Yorba Linda, St Joseph Heritage Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W. ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 445-8121
Mailing address
PO BOX 31001 - 1920, PASADENA, CA 91110-1920
(714) 449-4800
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
02/06/2026
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