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Organization

CHILDREN'S HOSPITAL OF ORANGE COUNTY

Active
Parent organization
CHILDRENS HOSPITAL OF ORANGE COUNTY
Other names
CS Cardiology
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDRENS HOSPITAL OF ORANGE COUNTY
Authorized official
MARK KELLY (DIRECTOR, CS BUSINESS SERVICES)
(714) 509-7964
Entity
Organization

Contact information

Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-3939
(714) 509-3949
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-3939
(714) 509-3949

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
CA

Other

Enumeration date
03/28/2013
Last updated
10/17/2013
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