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MEMORIALCARE MEDICAL FOUNDATION 1912653288

Overview
Name: MEMORIALCARE MEDICAL FOUNDATION Specialty: Non-Pharmacy Dispensing Site Type of Practice: Organization Provider/Org: MEMORIAL HEALTH SERVICES, INC. Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Suppliers Classification: Non-Pharmacy Dispensing Site Specialization: . Definition of Specialty: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: MEMORIALCARE MEDICAL FOUNDATION,18111 BROOKHURST ST., STE 6100,FOUNTAIN VALLEY,CA,927086728,US Mailing Address: MEMORIALCARE MEDICAL FOUNDATION,18111 BROOKHURST ST., STE 6100,FOUNTAIN VALLEY,CA,927086728,US
Contact #
Practice location phone #: 7143787330 Practice location fax #: 7143770003 Mailing address Phone #: 7143787330 Mailing Address fax #: 7143770003 Authorized official Name/Telephone #:TANYA, DANSKY, M.D., SENIOR MEDICAL DIRECTOR 6572413499
Misc
Date NPI was obtained: 02/25/2022 Last data data was updated: 02/25/2022 Insurances:

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