Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Parent organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Other names
CHOC Primary Care Network
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Authorized official
MARK KELLY (DIRECTOR, CS BUSINESS SERIVICES)
(714) 509-7861
Entity
Organization
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(888) 770-2462
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080B0002X
Pediatric Obesity Medicine Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
09/27/2018
Last updated
10/26/2018
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