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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