YORBA PARK MEDICAL GROUP II INC. NPI 1629101100

NPI Information

NPI: 1629101100
Provider Name: YORBA PARK MEDICAL GROUP II, INC.

Doing Business As: ST. JOSEPH HERITAGE MEDICAL GROUP

Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
2501 E CHAPMAN AVE
ORANGE, CA
ZIP 92869
Phone: (714) 633-1011
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YORBA PARK MEDICAL GROUP II, INC. is a nutrition and education nutritionist in Orange, CA. YORBA PARK MEDICAL GROUP II, INC. NPI is 1629101100. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Joseph Heritage Medical Group.

The provider's business location address is:

2501 E CHAPMAN AVE
ORANGE, CA
ZIP 92869-204
Phone: (714) 633-1011
Fax: (714) 633-4883

The provider's authorized official is Charles W. Foster .
The authorized official title is Administrator and has the following contact phone number (714) 628-3367.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education	CALIFORNIA	Yes
2	133V00000X	Dietitian, Registered		CALIFORNIA	X
3	163WD0400X	Registered Nurse	Diabetes Educator	CALIFORNIA	X
4	171100000X	Acupuncturist		CALIFORNIA	X
5	207Q00000X	Family Medicine		CALIFORNIA	X
6	207R00000X	Internal Medicine		CALIFORNIA	X
7	208000000X	Pediatrics		CALIFORNIA	X
8	208M00000X	Hospitalist		CALIFORNIA	X
9	363A00000X	Physician Assistant		CALIFORNIA	X
10	363L00000X	Nurse Practitioner		CALIFORNIA	X

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

NPI Synchronization or Removal

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