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Contact Information

MEMORIALCARE MEDICAL FOUNDATION
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA92708-3720
 Phone: 877-696-3622
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Podiatrist

213E00000X 48 Podiatry
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MEMORIALCARE MEDICAL FOUNDATION

NPI # 1205167350
LBN Legal business name MEMORIALCARE MEDICAL FOUNDATION
Authorized official LAURIE SICAEROS - (COO/VP PHYSICIAN INTEGRATION)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/28/2010
Last updated 02/27/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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