NPI:
1174855936
Provider Name:
DIGNITY HEALTH MEDICAL FOUNDATION
Doing Business As: DIGNITY HEALTH MEDICAL GROUP - DOMINICAN, A SERVICE OF DIGNITY HEALTH
Classification:
Clinic/Center - 261QM1300X
Entity Type:
Organization
Specialization: Multi-Specialty
Address:
1595 SOQUEL DR
SUITE 220
SANTA CRUZ, CA
ZIP 95065
Phone:
(831) 476-4200
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DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in Santa Cruz, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1174855936. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Medical Group - Dominican, A Service Of Dignity Health.
The provider's business location address is:
1595 SOQUEL DR
SUITE 220
SANTA CRUZ, CA
ZIP 95065-719
Phone: (831) 476-4200
Fax: (831) 476-5052
The provider's authorized official is Theresa M Hylen .
The authorized official title is Chief Financial Officer and has the following contact phone number (916) 851-2559.
The enumeration date for this NPI number is 2/4/2010 and was last updated on 11/18/2020.