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Organization

ST JUDE HOSPITAL YORBA LINDA

Active
Other names
ST JOSEPH HERITAGE HEALTHCARE
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN BENNETT (CHIEF OPERATING OFFICER)
(714) 449-4800
Entity
Organization

Contact information

Practice address
3304 RENNER DR, FORTUNA, CA 95540-7102
(707) 725-9383
(707) 725-1140
Mailing address
279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 92835-1041
(714) 449-4841
(714) 449-4956

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
02/02/2011
Last updated
02/02/2011
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