ST JOSEPH HOSPITAL OF ORANGE NPI 1609850320

NPI Information

NPI: 1609850320
Provider Name: ST JOSEPH HOSPITAL OF ORANGE

Doing Business As: PROVIDENCE ST. JOSEPH HOSPITAL

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1100 W STEWART DR
ORANGE, CA
ZIP 92868
Phone: (714) 633-9111
Get Directions

ST JOSEPH HOSPITAL OF ORANGE is an end-stage renal disease (esrd) treatment clinic center in Orange, CA. ST JOSEPH HOSPITAL OF ORANGE NPI is 1609850320. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence St. Joseph Hospital.

The provider's business location address is:

1100 W STEWART DR
ORANGE, CA
ZIP 92868-849
Phone: (714) 633-9111
Fax: (714) 744-8570

The provider's authorized official is Jeremy Zoch .
The authorized official title is Ceo and has the following contact phone number (714) 771-8000.

The CLIA number assigned to this NPI record is 05D1103182 - end stage renal disease dialysis with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2005 and was last updated on 12/24/2020.

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 Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	060000172	CALIFORNIA	Yes

What is NPI?

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This page was last updated on: 11/14/2023

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