ST. JUDE HOSPITAL YORBA LINDA is a non pharmacy dispensing site in Irvine, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ST. JUDE HOSPITAL YORBA LINDA NPI is 1396283453. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellness-village.
The provider's business location address is:
57 PRISM
IRVINE, CA
ZIP 92618-148
Phone: (949) 430-3960
Fax: (949) 430-3961
The provider's authorized official is John Bennett .
The authorized official title is Chief Administration Officer and has the following contact phone number (714) 449-4942.
The CLIA number assigned to this NPI record is 05D2096645 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/8/2017 and was last updated on 2/8/2017.