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Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Parent organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Other names
CHOC DEPT OF PSYCHOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Authorized official
KERRI RUPPERT SCHILLER (CFO)
(714) 509-8405
Entity
Organization
Contact information
Practice address
1120 W LA VETA AVE, SUITE 470, ORANGE, CA 92868-4231
(714) 509-8481
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8649
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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