Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Other names
CHOC PT
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
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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