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Organization
ST JUDE HOSPITAL YORBA LINDA
Active
Organization
ST JUDE HOSPITAL YORBA LINDA
Active
Other names
ST JOSEPH HERITAGE HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BENNETT (CHIEF OPERATING OFFICER)
(714) 449-4800
Entity
Organization
Contact information
Practice address
3304 RENNER DR, FORTUNA, CA 95540-7102
(707) 725-9383
(707) 725-1140
Mailing address
279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 92835-1041
(714) 449-4841
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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