# PEDIATRIC SURGICAL SPECIALISTS OF ORANGE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194908293
- **Authorized official:** MISS CHRISTINA M BARRETTA (PRACTICE MANAGER)
- **Authorized official phone:** (714) 361-4480

## Contact information

- **Practice address:** 1120 W LA VETA AVE, SUITE 100, ORANGE, CA 92868-4231
- **Practice address phone:** (714) 361-4480
- **Practice address fax:** (714) 361-4490
- **Mailing address:** 1120 W LA VETA AVE, SUITE 100, ORANGE, CA 92868-4231
- **Mailing address phone:** (714) 361-4480
- **Mailing address fax:** (714) 361-4490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | G79479 | CA | Yes |

## Other

- **Enumeration date:** 12/11/2007
- **Last updated:** 12/12/2007