Organization · Type 2 NPI

St.jude Heritage Medical Group

Specialist · Orange, CA

NPI number 1972909927 Active

Practice location

1010 W La Veta Ave Ste 710
Orange, CA 92868-4306

Call (714) 835-2724 Map

Fax (714) 835-2753

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG86364 (CA)

Specialist: 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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About NPI 1972909927

St.jude Heritage Medical Group's National Provider Identifier is 1972909927, issued on Nov 18, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orange, CA. The record was last updated on Nov 18, 2014.