Organization
CHILDRENS HOSPITAL OF ORANGE COUNTY
Active
Other names
CHOC ORANGE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA SUE CADOGAN C.P.C (BILLING MANAGER)
(714) 289-4818
Entity
Organization
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 289-4818
(714) 532-8798
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 289-4818
(714) 532-8798
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMM71041F
MEDICAL GROUP ID
CA
Enumeration date
11/16/2006
Last updated
06/05/2024
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