Organization
PROVIDENCE FACEY MEDICAL FOUNDATION
Active
Parent organization
PROVIDENCE FACEY MEDICAL FOUNDATION
Other names
EXER WITH PROVIDENCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE FACEY MEDICAL FOUNDATION
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
14550 SOLEDAD CANYON RD, SANTA CLARITA, CA 91387-2200
(818) 837-5559
Mailing address
FILE 50670, LOS ANGELES, CA 90074-0670
(818) 837-5559
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
05/13/2025
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