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Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Other names
Rady Children's Hospital Orange County
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDIP GODAMBE MD (SR. VICE PRESIDENT MEDICAL AFFAIRS)
(714) 509-8413
Entity
Organization
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 997-3000
(714) 532-8753
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 997-3000
(714) 532-8753
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
—
—
282NC2000X
Children's Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
CHAMPUS
CA
01
—
3253
BLUE CROSS
CA
01
—
CHOC
UNIVERSAL CARE
CA
05
—
HSC31404F
—
CA
05
—
ZZT41404F
—
CA
01
—
ZZZD3004Z
BLUE SHIELD
CA
Enumeration date
10/02/2006
Last updated
10/24/2025
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