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Organization
ST. JUDE HOSPITAL YORBA LINDA
Active
Organization
ST. JUDE HOSPITAL YORBA LINDA
Active
Other names
DRIVE Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BENNETT (CHIEF ADMINISTRATION OFFICER)
(714) 449-4942
Entity
Organization
Contact information
Practice address
3355 MICHELSON DR, SUITE 490, IRVINE, CA 92612-0684
(949) 672-9900
(949) 526-8385
Mailing address
200 W CENTER STREET PROMENADE, SUITE 800, ANAHEIM, CA 92805-3960
(949) 275-5665
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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