Organization
CHILDREN'S HOSPITAL OF ORANGE
Active
Parent organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Other names
CS Nephrology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S 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) 509-8324
(714) 509-4169
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8324
(714) 509-4169
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
—
CA
Other
Enumeration date
03/28/2013
Last updated
10/17/2013
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