Organization Name: | DIGNITY HEALTH MEDICAL FOUNDATION |
NPI Number: | 1013947332 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE LENZI (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 6660 Coyle Ave Suite 200 Carmichael |
State: | CA US |
Postal Code: | 956086335 |
Phone Number: | 9169651913 |
Fax Number: | 9168631218 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 12/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0206X |
License Number: | 89816 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mammography |
Taxonomy Definition: |