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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