| St. Jude Neighborhood Health Centers | |
| 
					731 S Highland Ave Fullerton CA 92832-2753  | |
| (714) 771-8006 | |
| (714) 744-8629 | 
| Full Name | St. Jude Neighborhood Health Centers | 
|---|---|
| Speciality | Clinic/center - Dental | 
| 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 | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| St. Jude Neighborhood Health Centers 731 S Highland Ave Fullerton CA 92832-2753 Ph: (714) 446-5100  | St. Jude Neighborhood Health Centers 731 S Highland Ave Fullerton CA 92832-2753 Ph: (714) 771-8006  | 
| NPI Number | 1861898991 | 
|---|---|
| Provider Enumeration Date | 11/18/2014 | 
| Last Update Date | 10/23/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861898991 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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Ho Jung Kim Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 N Harbor Blvd, Suite 240, Fullerton, CA 92832 Phone: 714-526-5200 Fax: 714-526-5656  | |
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