Organization
ANZA COMMUNITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN YUJUNG YUN D.O. (PRESIDENT)
(951) 566-6778
Entity
Organization
Contact information
Practice address
56480 HIGHWAY 371, ANZA, CA 92539
(951) 694-8549
(951) 694-0249
Mailing address
PO BOX 391487, ANZA, CA 92539-1487
(951) 694-8549
(951) 694-0249
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A8759
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX87590
—
CA
Enumeration date
03/14/2007
Last updated
07/08/2008
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