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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