# ST JUDE HOSPITAL YORBA LINDA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Joseph Heritage Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518349216
- **Authorized official:** TINA MYCROFT (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (714) 937-7023

## Contact information

- **Practice address:** 3355 MICHELSON DR, STE. 490, IRVINE, CA 92612-0684
- **Practice address phone:** (949) 526-8375
- **Mailing address:** PO BOX 31001-1920, PASADENA, CA 91110-1920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2015
- **Last updated:** 07/07/2015