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Organization
ST. JOSEPH - ST. THERESA MEDICAL, INC.
Active
Organization
ST. JOSEPH - ST. THERESA MEDICAL, INC.
Active
Other names
St. Joseph - St. Theresa Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LILY H DO DO (OWNER / MEDICAL DOCTOR)
(714) 760-4903
Entity
Organization
Contact information
Practice address
11180 WARNER AVE, FOUNTAIN VALLEY, CA 92708-7501
(714) 760-4903
(714) 760-4349
Mailing address
11180 WARNER AVE, FOUNTAIN VALLEY, CA 92708-7501
(714) 760-4903
(714) 760-4349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841433653
—
CA
Enumeration date
04/28/2021
Last updated
04/28/2021
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