# ST. JUDE HOSPITAL YORBA LINDA

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

## Provider details

- **NPI number:** 1396283453
- **Authorized official:** JOHN BENNETT (CHIEF ADMINISTRATION OFFICER)
- **Authorized official phone:** (714) 449-4942

## Contact information

- **Practice address:** 57 PRISM, IRVINE, CA 92618-3148
- **Practice address phone:** (949) 430-3960
- **Practice address fax:** (949) 430-3961
- **Mailing address:** 57 PRISM, IRVINE, CA 92618-3148
- **Mailing address phone:** (949) 430-3960
- **Mailing address fax:** (949) 430-3961

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 02/08/2017