NPI | 1639715709 |
---|---|
Former Legal Business Name | ST JOSEPH HERITAGE HEALTHCARE |
Entity Type | Organization |
Authorized Contact | JILL A DUPLECHAN Chief Administrative Officer 714-347-7790 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-11-22 |
Last Update Date | 2021-05-05 |