NPI | 1053616706 |
---|---|
Former Legal Business Name | ST JOSEPH HERITAGE HEALTHCARE |
Former Legal Business Name | ST JUDE HOSPITAL YORBA LINDA |
Entity Type | Organization |
Authorized Contact | JILL A DUPLECHAN Chief Administrative Officer 714-347-7790 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2011-01-11 |
Last Update Date | 2021-05-05 |