Organization
ST. JUDE HOSPITAL, INC. DBA ST. JUDE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGGIE ILAGAN (MANAGER, PATIENT FINANCIAL SERVICES)
(714) 870-3510
Entity
Organization
Contact information
Practice address
2767 E IMPERIAL HWY, SECOND FLOOR, BREA, CA 92821-6713
(714) 870-3540
(714) 870-3525
Mailing address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 992-3000
(714) 870-3525
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
060000173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC30168F
—
CA
05
—
ZZT30168F
—
CA
05
—
ZZT40168F
—
CA
Enumeration date
01/02/2007
Last updated
05/04/2010
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