# 752 MDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689009839
- **Authorized official:** MRS. SANDRA YVONNE JONES RN (SURGICAL NURSE)
- **Authorized official phone:** (951) 655-5167

## Contact information

- **Practice address:** 1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
- **Practice address phone:** (626) 851-7250
- **Mailing address:** 15737 AQUEDUCT LN, CHINO HILLS, CA 91709-2852
- **Mailing address phone:** (909) 597-4189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 294171 | CA | Yes |

## Other

- **Enumeration date:** 09/06/2013
- **Last updated:** 09/06/2013