Organization
CHILDRENS HOSPITAL OF ORANGE COUNTY
Active
Other names
CHOC CLINIC GARDEN GROVE
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
10602 CHAPMAN AVE, GARDEN GROVE, CA 92840-3103
(714) 532-7921
Mailing address
10602 CHAPMAN AVE, GARDEN GROVE, CA 92840-3103
(714) 532-7921
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CMM71110F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMM7110F
GROUP MEDI-CAL ID NUMBER
CA
Enumeration date
02/27/2007
Last updated
08/22/2020
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