St. Joseph - St. Theresa Medical, Inc.
NPI #1790367779 in Fountain Valley, California
Provider Information
- NPI Number
- 1790367779
- Entity Type
- Organization
- Organization Name
- St. Joseph - St. Theresa Medical, Inc.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 28, 2021
- Last Updated
- Apr 28, 2021
Practice Location
- Address
- 11180 WARNER AVE
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-7501
- Phone
- (714) 760-4903
Authorized Official
- Name
- LILY H DO, DO
- Title
- OWNER / MEDICAL DOCTOR
- Phone
- (714) 760-4903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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