# MEMORIALCARE MEDICAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HEALTH SERVICES, INC.
- **Other names:** MemorialCare Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912653288
- **Legal business name:** MEMORIAL HEALTH SERVICES, INC.
- **Authorized official:** TANYA DANSKY M.D. (SENIOR MEDICAL DIRECTOR)
- **Authorized official phone:** (657) 241-3499

## Contact information

- **Practice address:** 18111 BROOKHURST ST., STE 6100, FOUNTAIN VALLEY, CA 92708-6728
- **Practice address phone:** (714) 378-7330
- **Practice address fax:** (714) 377-0003
- **Mailing address:** 18111 BROOKHURST ST., STE 6100, FOUNTAIN VALLEY, CA 92708-6728
- **Mailing address phone:** (714) 378-7330
- **Mailing address fax:** (714) 377-0003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2022
- **Last updated:** 09/09/2022