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Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Other names
CHOC ST
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KELLY (DIRECTOR, CS BUSINESS SERVICES)
(714) 509-7964
Entity
Organization
Contact information
Practice address
2500 RED HILL AVE, SUITE 100, SANTA ANA, CA 92705-5518
(949) 267-0400
(949) 221-0004
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(949) 267-0400
(949) 221-0004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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