Organization
ST. JUDE HOSPITAL YORBA LINDA
Active
Other names
DRIVE Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BENNETT (CHIEF ADMINISTRATION OFFICER)
(714) 449-4942
Entity
Organization
Contact information
Practice address
3355 MICHELSON DR, SUITE 490, IRVINE, CA 92612-0684
(949) 672-9900
(949) 526-8385
Mailing address
200 W CENTER STREET PROMENADE, SUITE 800, ANAHEIM, CA 92805-3960
(949) 275-5665
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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