PROVIDENCE MEDICAL FOUNDATION is a hematology and oncology internal medicine in Orange, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. PROVIDENCE MEDICAL FOUNDATION NPI is 1801443510. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is St Joseph Heritage Healthcare.
The provider's business location address is:
1010 W LA VETA AVE STE 200
ORANGE, CA
ZIP 92868-301
Phone: (714) 835-1800
Fax: (714) 835-1811
The provider's authorized official is Jill A Duplechan .
The authorized official title is Chief Administrative Officer and has the following contact phone number (714) 347-7790.
The CLIA number assigned to this NPI record is 05D0579910 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 8/19/2019 and was last updated on 5/5/2021.