St Jude Cardiothoracic Surgeons
NPI #1861681355 in Fullerton, California
Provider Information
- NPI Number
- 1861681355
- Entity Type
- Organization
- Organization Name
- St Jude Cardiothoracic Surgeons
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ORANGE COUNTY THORACIC & CARDIOVASCULAR SURGEONS
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 19, 2007
- Last Updated
- Aug 6, 2020
Practice Location
- Address
- 301 W BASTANCHURY RD
- Address 2
- SUITE 195
- City
- Fullerton
- State
- California
- ZIP Code
- 92835-3419
- Phone
- (714) 446-8866
Authorized Official
- Name
- RICHARD N GATES, MD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (714) 997-2224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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