Organization
ST. JUDE NEIGHBORHOOD HEALTH CENTERS
Active
Organization
ST. JUDE NEIGHBORHOOD HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JASON BROWN (CHIEF EXECUTIVE OFFICER)
(714) 446-5230
Entity
Organization
Contact information
Practice address
725 W LA VETA AVE STE 260, ORANGE, CA 92868-4439
(714) 771-8006
(714) 774-8630
Mailing address
731 S HIGHLAND AVE, FULLERTON, CA 92832-2753
(714) 446-5100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
06/17/2020
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