Organization
ANZA COMMUNITY MEDICAL CENTER CORP
Active
Other names
Anza Community Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN YUJUNG YUN D.O. (PRESIDENT)
(951) 595-5589
Entity
Organization
Contact information
Practice address
56480 HIGHWAY 371, ANZA, CA 92539
(951) 763-2626
(951) 763-5353
Mailing address
56480 HIGHWAY 371, P.O. BOX 391313, ANZA, CA 92539
(951) 763-2626
(951) 763-5353
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20A8759
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX87590
—
CA
Enumeration date
12/31/2007
Last updated
01/06/2010
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