Providence Medical Foundation
Providence Medical Foundation is a Family Medicine Physician in Anaheim, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
200 W Center Street PromenadeAnaheim, CA 92805-3960
Phone: (147) 123-5007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1639715709 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| Other names | St Joseph Heritage Healthcare |
| NPI enumerated | November 22, 2019 |
| Last updated in NPPES | January 6, 2026 |
| Certification date | January 6, 2026 |
| Mailing address | Po Box 31001 - 1920, Pasadena, CA 91110-1920 |
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Michael S. Provenghi, MD
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Providence Medical Foundation
200 W Center Street Promenade Ste 100, Anaheim, CA 92805-3960 · (714) 449-4841
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