Providence Medical Foundation
Orthopaedic Surgery
2141 N Harbor Blvd Ste 35000, Fullerton
California, 92835
714-626-8630 714-626-8659
Providence Medical Foundation is a Orthopaedic Surgery in Fullerton, California. It is located at 2141 N Harbor Blvd Ste 35000, Fullerton and it's customer support contact number is 714-626-8630. The authorized person of Providence Medical Foundation is Jill Ann Duplechan who is Chief Administrative Officer of this DME and his contact number is 714-347-7790.
Providence Medical Foundation is 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, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
DME Supplier Details:
Providence Medical Foundation type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Providence Medical Foundation |
| Type: | Orthopaedic Surgery |
| Location: | 2141 N Harbor Blvd Ste 35000, Fullerton,
California, 92835 |
| Phone: | 714-626-8630 |
| Fax: | 714-626-8659 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Jill Ann Duplechan |
| Position: | Chief Administrative Officer |
| Contact Number: | 714-347-7790 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1316243769 |
| NPI Enumeration Date: | 02 Feb, 2011 |
| NPI Last Update On: | 15 Jun, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Medical Foundation are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthopaedic Surgery | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 6852510002 | Other | California | Nsc |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2141 N Harbor Blvd Ste 35000,
Fullerton, California |
| Zip: | 92835-3831 |
| Phone Number: | -- |
Patients can reach Providence Medical Foundation at
2141 N Harbor Blvd Ste 35000, Fullerton, California or can
call on customer care at 714-626-8630.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.