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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
4900 PROSPECT AVE, SUITE 180, YORBA LINDA, CA 92886-2128
(714) 577-6677
(714) 577-6635
Mailing address
279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 92835-1041
(714) 449-4841
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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