Organization
ANZA COMMUNITY MEDICAL CENTER CORP
Active
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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