MEMORIALCARE MEDICAL FOUNDATION is a non pharmacy dispensing site in Fountain Valley, 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 1912653288. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorialcare Medical Group.
The provider's business location address is:
18111 BROOKHURST ST., STE 6100
FOUNTAIN VALLEY, CA
ZIP 92708-728
Phone: (714) 378-7330
Fax: (714) 377-0003
The provider's authorized official is Tanya Dansky .
The authorized official title is Senior Medical Director and has the following contact phone number (657) 241-3499.
The CLIA number assigned to this NPI record is 05D2019393 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/25/2022 and was last updated on 9/9/2022.