St Joseph Heritage Healthcare | |
2720 N Harbor Blvd Suite 100 Fullerton CA 92835-2609 | |
(714) 449-6900 | |
Not Available |
Full Name | St Joseph Heritage Healthcare |
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Speciality | Family Medicine |
Location | 2720 N Harbor Blvd, Fullerton, California |
Authorized Official Name and Position | John Bennett (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 7144494800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St Joseph Heritage Healthcare 279 Imperial Hwy Suite 730 Fullerton CA 92835-1041 Ph: (714) 449-4800 | St Joseph Heritage Healthcare 2720 N Harbor Blvd Suite 100 Fullerton CA 92835-2609 Ph: (714) 449-6900 |
NPI Number | 1619273059 |
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Provider Enumeration Date | 02/02/2011 |
Last Update Date | 02/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619273059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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St Joseph Heritage Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 N Harbor Blvd, Suite 3200, Fullerton, CA 92835 Phone: 714-446-5101 | |
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