Organization
DIGNITY HEALTH MEDICAL FOUNDATION
Active
Parent organization
DIGNITY HEALTH MEDICAL FOUNDATION
Other names
Dignity Health Medical Group - Northridge, a service of Dignity Health
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
18406 ROSCOE BLVD, NORTHRIDGE, CA 91325-4107
(818) 885-5480
Mailing address
3400 DATA DR, 1ST FLOOR, RANCHO CORDOVA, CA 95670-7956
(916) 379-2726
(916) 853-7874
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383981523
IRS
CA
Enumeration date
01/05/2016
Last updated
11/18/2020
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