Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Parent organization
CHILDREN'S HOSPITAL OR ORANGE COUNTY
Other names
CS Neuro Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OR ORANGE COUNTY
Authorized official
MARK KELLY (DIRECTOR, BUSINESS SERVICES)
(714) 509-7964
Entity
Organization
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8649
(714) 509-8374
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8649
(714) 509-8374
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
CA
2086S0120X
Pediatric Surgery Physician
—
CA
Other
Enumeration date
04/03/2013
Last updated
10/17/2013
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