Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Parent organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Other names
CS Pediatric General and Thoracic Surgery
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) 364-4050
(714) 364-4051
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 364-4050
(714) 364-4051
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
CA
Other
Enumeration date
03/28/2013
Last updated
04/07/2016
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