# ST. JUDE HOSPITAL YORBA LINDA

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

## Provider details

- **NPI number:** 1306384185
- **Authorized official:** JOHN BENNETT (CHIEF ADMINISTRATION OFFICER)
- **Authorized official phone:** (714) 449-4942

## Contact information

- **Practice address:** 4 PARK PLZ, SUITE 150, IRVINE, CA 92614-8560
- **Practice address phone:** (949) 430-3963
- **Practice address fax:** (949) 430-3964
- **Mailing address:** 4 PARK PLZ, SUITE 150, IRVINE, CA 92614-8560
- **Mailing address phone:** (949) 430-3963
- **Mailing address fax:** (949) 430-3964

## 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