| NPI | 1386869907 |
|---|---|
| Doing Business As | ST. JUDE MOBILE HEALTH CLINIC 1 |
| Entity Type | Organization |
| Authorized Contact | BARRY ROSS Vice President, Healthy Communities 714-992-3164 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 70906F) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-02-27 |