# ST. JUDE HOSPITAL YORBA LINDA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellness Center - Paramount P3
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194263822
- **Authorized official:** JOHN BENNETT (CHIEF ADMINISTRATION OFFICER)
- **Authorized official phone:** (714) 449-4942

## Contact information

- **Practice address:** 3701 MICHELSON ST, LAKEWOOD, CA 90712-1402
- **Practice address phone:** (562) 275-7303
- **Practice address fax:** (562) 634-2430
- **Mailing address:** 200 W CENTER STREET PROMENADE, SUITE 800, ANAHEIM, CA 92805-3960
- **Mailing address phone:** (714) 347-7910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 02/01/2017
- **Last updated:** 02/01/2017