# ST. JUDE HOSPITAL YORBA LINDA

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

## Provider details

- **NPI number:** 1306384375
- **Authorized official:** JOHN BENNETT (CHIEF ADMINISTRATION OFFICER)
- **Authorized official phone:** (714) 449-4942

## Contact information

- **Practice address:** 3355 MICHELSON DR, SUITE 490, IRVINE, CA 92612-0684
- **Practice address phone:** (949) 672-9900
- **Practice address fax:** (949) 526-8385
- **Mailing address:** 200 W CENTER STREET PROMENADE, SUITE 800, ANAHEIM, CA 92805-3960
- **Mailing address phone:** (949) 275-5665

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2017
- **Last updated:** 02/09/2017