St, Jude Heritage Medical Group
St, Jude Heritage Medical Group is a Family Nurse Practitioner in Fullerton, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
731 S Highland AveFullerton, CA 92832-2753
Phone: (714) 446-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 21377 (CA) |
|---|
Record details
| NPI number | 1538436274 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bob O'Neil — Vp Of Physician Services · (714) 578-8616 |
| NPI enumerated | November 23, 2011 |
| Last updated in NPPES | November 23, 2011 |
| Mailing address | 731 S. Highland Ave, Fullerton, CA 92832-2753 |
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