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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
CS Otolaryngology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Authorized official
MARK KELLY (DIRECTOR, CS BUSINESS SERVICES)
(714) 509-7964
Entity
Organization
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 633-4020
(714) 953-5462
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 633-4020
(714) 953-5462
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
CA
Other
Enumeration date
04/03/2013
Last updated
10/17/2013
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