Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Parent organization
MEDVANTX, INC.
Other names
Dignity Health Medical Foundation - El Dorado Hills
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
1264 HAWKS FLIGHT CT, SUITE 100, EL DORADO HILLS, CA 95762-9348
(916) 939-8400
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A96435
CA
Other
Enumeration date
09/06/2013
Last updated
11/18/2020
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