Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Parent organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Other names
CS Gastroenterology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Authorized official
MARK KELLY (DIRECTOR, CS BUSINESS DEVELOPMENT)
(714) 509-7964
Entity
Organization
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-4099
(714) 509-4063
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-4099
(714) 509-4063
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
CA
Other
Enumeration date
03/28/2013
Last updated
10/17/2013
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