Organization
ST. JUDE HOSPITAL YORBA LINDA
Active
Other names
Wellness Center - Paramount P3
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BENNETT (CHIEF ADMINISTRATION OFFICER)
(714) 449-4942
Entity
Organization
Contact information
Practice address
3701 MICHELSON ST, LAKEWOOD, CA 90712-1402
(562) 275-7303
(562) 634-2430
Mailing address
200 W CENTER STREET PROMENADE, SUITE 800, ANAHEIM, CA 92805-3960
(714) 347-7910
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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