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Providence Medical Foundation
Oxygen Equipment & Supplies (DME) in Brea, California
NPI 1871607762

Providence Medical Foundation is a Oxygen Equipment & Supplies (DME) based in Anaheim, CA and is specialized in Oxygen Equipment & Supplies. Providence Medical Foundation practices in Brea, CA. The NPI Number for Providence Medical Foundation is 1871607762 and holds a License No. (California).

The current practice location address for Providence Medical Foundation is 955 W Imperial Hwy Ste 110, Brea, CA and can be reached out via phone at 714-449-4900.

Location: 955 W Imperial Hwy Ste 110, Brea, CA, 92805-3960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871607762
Provider Name
Providence Medical Foundation
Credential
Provider Entity Type
Organization
Address
955 W Imperial Hwy Ste 110, Brea, CA, 92805-3960
Phone Number
714-449-4900
Fax Number
Provider Enumeration Date
08/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0062054 05 CA
GR0062057 05 CA
GR0062056 05 CA
GR0062055 05 CA
GR006205A 05 CA
GR0062053 05 CA
LAB76828F 05 CA
GR0062050 05 CA
GR0062052 05 CA
GR0062058 05 CA
GR0062051 05 CA
GR0062059 05 CA
institution
Provider Business Practice Location Address Details
Address
955 W Imperial Hwy Ste 110
City
Brea
State
California
Zip
92821-3814
Phone Number
714-449-4900
Fax Number
person
Provider Business Mailing Address Details
Address
955 W Imperial Hwy Ste 110
City
Brea
State
California
Zip
92821-3814
Phone Number
714-449-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
091052001 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
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