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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 Craniofacial
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Authorized official
KERRI RUPPERT SCHILLER (EXECUTIVE VICE PRESIDENT & CFO)
(714) 509-8451
Entity
Organization
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(888) 770-2462
(855) 246-2329
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
12/19/2019
Last updated
11/30/2020
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