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
2752 HARRISON AVE, SUITE A, EUREKA, CA 95501-4738
(707) 268-0190
Mailing address
PO BOX 31001 - 1920, PASADENA, CA 91110-1920
(714) 449-4800
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/12/2009
Last updated
02/03/2026
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