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MEMORIALCARE MEDICAL FOUNDATION NPI 1871246777


NPI Information

NPI: 1871246777
Provider Name: MEMORIALCARE MEDICAL FOUNDATION
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 05D0956634

Address:
230 S. MAIN ST, SUITE 100
ORANGE, CA
ZIP 92868
Phone: (714) 541-0101
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MEMORIALCARE MEDICAL FOUNDATION is a non pharmacy dispensing site in Orange, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MEMORIALCARE MEDICAL FOUNDATION NPI is 1871246777. The provider is registered as an organization entity type.

The provider's business location address is:

230 S. MAIN ST, SUITE 100
ORANGE, CA
ZIP 92868
Phone: (714) 541-0101
Fax: (714) 541-0450

The provider's authorized official is Tanya Dansky .
The authorized official title is Mcmf - Senior Medical Director and has the following contact phone number (657) 241-3499.

The CLIA number assigned to this NPI record is 05D0956634 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2022 and was last updated on 1/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.