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St.jude Heritage Medical Group
Specialist in Orange, California
NPI 1972909927

St.jude Heritage Medical Group is a Specialist based in Orange, CA. St.jude Heritage Medical Group practices in Orange, CA. The NPI Number for St.jude Heritage Medical Group is 1972909927 and holds a License No. G86364 (California).

The current practice location address for St.jude Heritage Medical Group is 1010 W La Veta Ave Ste 710, Orange, CA and can be reached out via phone at 714-835-2724 and via fax at 714-835-2753.

Location: 1010 W La Veta Ave Ste 710, Orange, CA, 92868-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972909927
Provider Name
St.jude Heritage Medical Group
Credential
Provider Entity Type
Organization
Address
1010 W La Veta Ave Ste 710, Orange, CA, 92868-4306
Phone Number
714-835-2724
Fax Number
714-835-2753
Provider Enumeration Date
11/18/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1010 W La Veta Ave Ste 710
City
Orange
State
California
Zip
92868-4306
Phone Number
714-835-2724
Fax Number
714-835-2753
person
Provider Business Mailing Address Details
Address
1010 W La Veta Ave Ste 710
City
Orange
State
California
Zip
92868-4306
Phone Number
714-835-2724
Fax Number
714-835-2753
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G86364 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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