Organization
PROVIDENCE MEDICAL FOUNDATION
Active
Other names
St Joseph Heritage Healthcare, St Jude Hospital Yorba Linda
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
1100 TRANCAS ST, SUITE 209, NAPA, CA 94558-2900
(707) 251-1850
(707) 226-1502
Mailing address
PO BOX 31001 - 1920, PASADENA, CA 91110-1920
(714) 449-4800
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/11/2011
Last updated
12/03/2025
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