Organization
ST. JUDE HOSPITAL YORBA LINDA
Active
Other names
Wellness-Park Place
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BENNETT (CHIEF ADMINISTRATION OFFICER)
(714) 449-4942
Entity
Organization
Contact information
Practice address
3345 MICHELSON DR, SUITE 350, IRVINE, CA 92612-0692
(949) 381-4650
(949) 381-4993
Mailing address
3345 MICHELSON DR, SUITE 350, IRVINE, CA 92612-0692
(949) 381-4650
(949) 381-4993
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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