Organization · Type 2 NPI
Providence Medical Foundation
Orthopaedic Surgery Physician · Fullerton, CA
Practice location
2141 N Harbor Blvd Ste 35000
Fullerton, CA 92835
Fax (714) 626-8659
Mailing address
PO Box 31001 - 1920
Pasadena, CA 91110-1920
Other practice locations
- 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835-3827 · (714) 626-8630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery Physician Primary | 207X00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…
9 other providers at this address
- Andrew Concoff, MDSports Medicine (Internal Medicine) Physician Fullerton, CA NPI 1366442998
- Arnold Ryan HabanRegistered Nurse Fullerton, CA NPI 1174407944
- Austin James Perkins, PA-C, ATCSurgical Physician Assistant Fullerton, CA NPI 1013487883
- Carrie M. Carrillo, PASurgical Physician Assistant Fullerton, CA NPI 1588872089
- Charles Alexandre Greener, PASurgical Physician Assistant Fullerton, CA NPI 1346716842
- Etka Kurucan, MDOrthopaedic Surgery Physician Fullerton, CA NPI 1558981647
- Johan Martin Forslund, MDAdult Reconstructive Orthopaedic Surgery Physician Fullerton, CA NPI 1982138665
- Kate S. Boulder, DNP, FNP-C, AGNP-CNurse Practitioner Fullerton, CA NPI 1265946610
- Kyla Ama Davis, PA-CMedical Physician Assistant Fullerton, CA NPI 1972726784
About NPI 1316243769
Providence Medical Foundation's National Provider Identifier is 1316243769, issued on Feb 2, 2011. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Fullerton, CA. The record was last updated on Feb 3, 2026.