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ST JUDE HOSPITAL YORBA LINDA NPI 1376963314


NPI Information

NPI: 1376963314
Provider Name: ST JUDE HOSPITAL YORBA LINDA

Doing Business As: ST JOSEPH HERITAGE HEALTHCARE

Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
3555 ROUND BARN CIR
SANTA ROSA, CA
ZIP 95403
Phone: (707) 528-1050
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ST JUDE HOSPITAL YORBA LINDA is a medical oncology internal medicine in Santa Rosa, CA. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. ST JUDE HOSPITAL YORBA LINDA NPI is 1376963314. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Joseph Heritage Healthcare.

The provider's business location address is:

3555 ROUND BARN CIR
SANTA ROSA, CA
ZIP 95403-757
Phone: (707) 528-1050
Fax: (707) 525-3874

The provider's authorized official is Bob Just .
The authorized official title is Chief Operating Officer and has the following contact phone number (707) 303-8355.

The enumeration date for this NPI number is 4/17/2014 and was last updated on 4/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RX0202XInternal MedicineMedical OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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