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Organization

ST. JUDE HOSPITAL YORBA LINDA

Active
Other names
Wellness-Village
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN BENNETT (CHIEF ADMINISTRATION OFFICER)
(714) 449-4942
Entity
Organization

Contact information

Practice address
57 PRISM, IRVINE, CA 92618-3148
(949) 430-3960
(949) 430-3961
Mailing address
57 PRISM, IRVINE, CA 92618-3148
(949) 430-3960
(949) 430-3961

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
02/08/2017
Last updated
02/08/2017
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