# CHILDREN'S HOSPITAL OF ORANGE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S HOSPITAL OF ORANGE COUNTY
- **Other names:** CS Pediatric General and Thoracic Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811230741
- **Legal business name:** CHILDREN'S HOSPITAL OF ORANGE COUNTY
- **Authorized official:** MARK KELLY (DIRECTOR, CS BUSINESS SERVICES)
- **Authorized official phone:** (714) 509-7964

## Contact information

- **Practice address:** 1201 W LA VETA AVE, ORANGE, CA 92868-4203
- **Practice address phone:** (714) 364-4050
- **Practice address fax:** (714) 364-4051
- **Mailing address:** 1201 W LA VETA AVE, ORANGE, CA 92868-4203
- **Mailing address phone:** (714) 364-4050
- **Mailing address fax:** (714) 364-4051

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2013
- **Last updated:** 04/07/2016