Organization
ST. JUDE NEIGHBORHOOD HEALTH CENTERS
Active
Organization
ST. JUDE NEIGHBORHOOD HEALTH CENTERS
Active
Other names
Valley High School Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JASON BROWN (CHIEF EXECUTIVE OFFICER)
(208) 899-9631
Entity
Organization
Contact information
Practice address
1801 S GREENVILLE ST, SANTA ANA, CA 92704-4005
(714) 446-5100
Mailing address
731 S HIGHLAND AVE, FULLERTON, CA 92832-2753
(714) 446-5100
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
550000408
CA
261QD0000X
Dental Clinic/Center
550000408
CA
Other
Enumeration date
09/09/2015
Last updated
06/17/2020
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