Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Parent organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Other names
CS Cardiothoracic Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Authorized official
MARK KELLY (DIRECTOR REVENUE CYCLE SUPPORT)
(714) 509-7861
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
207RC0000X
Cardiovascular Disease Physician
—
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
CA
Other
Enumeration date
03/07/2016
Last updated
04/06/2016
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