Organization · Type 2 NPI

Providence Medical Foundation

Family Medicine Physician · Brea, CA

NPI number 1871607762 Active

Practice location

955 W Imperial Hwy Ste 110
Brea, CA 92821-3814

Call (714) 449-4900 Map

Mailing address

PO Box 31001 - 1920
Pasadena, CA 91110-1920

Other practice locations

  • 805 W La Veta Ave Ste 101, Orange, CA 92868-3928 · (714) 997-9595
  • 845 W La Veta Ave Ste 108, Orange, CA 92868-3930 · (714) 693-2600
  • 478 S Anaheim Hills Rd, Anaheim, CA 92807-4241 · (714) 282-5437
  • 1140 W La Veta Ave Ste 770, Orange, CA 92868-4229 · (714) 543-5555
  • 1100 Trancas St Ste 209, Napa, CA 94558-2909 · (707) 251-1850
  • 1140 W La Veta Ave Ste 430, Orange, CA 92868-4226 · (714) 543-5555
  • 2501 E Chapman Ave, Orange, CA 92869-3204 · (714) 628-3230
  • 1095 Irvine Blvd, Tustin, CA 92780-3526 · (714) 505-7110

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Radiology Clinic/Center 261QR0200XNone listed
Oxygen Equipment & Supplies (DME) 332BX2000X091052001 (CA)

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.

20 other providers at this address

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About NPI 1871607762

Providence Medical Foundation's National Provider Identifier is 1871607762, issued on Aug 18, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Brea, CA. The record was last updated on Feb 3, 2026.