Organization · Type 2 NPI

Providence Medical Foundation

Family Medicine Physician · Anaheim, CA

NPI number 1639715709 Active

Practice location

200 W Center Street Promenade
Anaheim, CA 92805-3960

Call (147) 123-5007 Map

Mailing address

PO Box 31001 - 1920
Pasadena, CA 91110-1920

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12 other providers at this address

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About NPI 1639715709

Providence Medical Foundation's National Provider Identifier is 1639715709, issued on Nov 22, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Anaheim, CA. The record was last updated on Jan 6, 2026.