# CHILDREN'S HOSPITAL OF ORANGE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S HOSPITAL OF ORANGE COUNTY
- **Other names:** CHOC DEPT OF PSYCHOLOGY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093102766
- **Legal business name:** CHILDREN'S HOSPITAL OF ORANGE COUNTY
- **Authorized official:** KERRI RUPPERT SCHILLER (CFO)
- **Authorized official phone:** (714) 509-8405

## Contact information

- **Practice address:** 1120 W LA VETA AVE, SUITE 470, ORANGE, CA 92868-4231
- **Practice address phone:** (714) 509-8481
- **Mailing address:** 1201 W LA VETA AVE, ORANGE, CA 92868-4203
- **Mailing address phone:** (714) 509-8649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/21/2015