Organization · Type 2 NPI

Providence Medical Foundation

Hematology & Oncology Physician · Orange, CA

NPI number 1801443510 Active

Practice location

1010 W La Veta Ave Ste 200
Orange, CA 92868-4301

Fax (714) 835-1811

Mailing address

PO Box 31001 - 1920
Pasadena, CA 91110-1920

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed

Hematology & Oncology Physician: 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.

5 other providers at this address

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About NPI 1801443510

Providence Medical Foundation's National Provider Identifier is 1801443510, issued on Aug 19, 2019. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Orange, CA. The record was last updated on Feb 3, 2026.