| St. Jude Neighborhood Health Center | |
|
731 S Highland Ave Fullerton CA 92832-2753 | |
| (714) 446-5100 | |
| (714) 449-0726 |
| Full Name | St. Jude Neighborhood Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 731 S Highland Ave, Fullerton, California |
| Authorized Official Name and Position | Timothy Jason Brown (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2088999631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Jude Neighborhood Health Center 731 S Highland Ave Fullerton CA 92832-2753 Ph: (714) 446-5100 | St. Jude Neighborhood Health Center 731 S Highland Ave Fullerton CA 92832-2753 Ph: (714) 446-5100 |
| NPI Number | 1316206592 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 06/17/2020 |
| Medicare PECOS PAC ID | 4284886789 |
|---|---|
| Medicare Enrollment ID | O20140131001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316206592 | NPI | - | NPPES |
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