| Organization Name: | DIGNITY HEALTH MEDICAL FOUNDATION |
| NPI Number: | 1053653873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE LENZI (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 4240 Highland Ave Suite B Highland |
| State: | CA US |
| Postal Code: | 923462764 |
| Phone Number: | 8053835258 |
| Fax Number: | 8056145901 |
| NPI Enumeration Date: | 03/19/2013 |
| NPI Last Update Date: | 04/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |