Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Parent organization
DIGNITY HEALTH MEDICAL FOUNDATION
Other names
Dignity Health Medical Group - Sequoia, a service of Dignity Health Me
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH MEDICAL FOUNDATION
Authorized official
THERESA M HYLEN (CHIEF FINANCIAL OFFICER)
(916) 851-2559
Entity
Organization
Contact information
Practice address
1301 SHOREWAY RD, SUITE 100, BELMONT, CA 94002-4151
(650) 596-7000
Mailing address
PO BOX 742852, LOS ANGELES, CA 90074-2852
(916) 379-2840
(916) 859-1106
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113737342
IRS - SP TAX ID
—
01
—
4601
HEALTHNET
—
01
—
ZZZ66458Z
BLUE SHIELD
CA
Enumeration date
08/04/2006
Last updated
11/18/2020
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