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
1100 TRANCAS ST, SUITE 210, NAPA, CA 94558-2900
(707) 251-3608
(707) 251-1727
Mailing address
279 IMPERIAL HWY, SUITE 730, FULLERTON, CA 92835-1041
(714) 449-4841
(714) 449-4956
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/02/2011
Last updated
08/29/2011
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