Organization
VSC HBO, LLC
Active
Other names
HealthBridge Children's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA CONSOLVER RN (CEO)
(714) 289-2400
Entity
Organization
Contact information
Practice address
393 S TUSTIN ST, ORANGE, CA 92866-2501
(714) 289-2400
(714) 289-2367
Mailing address
393 S TUSTIN ST, ORANGE, CA 92866-2501
(714) 289-2400
(714) 289-2367
Taxonomy
Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
—
—
282E00000X
Long Term Care Hospital
—
—
282NC2000X
Children's Hospital
—
—
283XC2000X
Children's Rehabilitation Hospital
—
—
284300000X
Special Hospital
Primary
060000530
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSC3308F
—
CA
05
—
HSP33308F
—
CA
05
—
HST33308F
—
CA
05
—
LTC40008F
—
CA
05
—
LTC55753F
—
CA
05
—
LTP40008F
—
CA
Enumeration date
12/23/2005
Last updated
11/20/2020
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