Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Other names
CHOC Children's Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI RUPPERT SCHILLER (CFO)
(714) 509-8405
Entity
Organization
Contact information
Practice address
19582 BEACH BLVD, SUITE 380, HUNTINGTON BEACH, CA 92648-2996
(888) 770-2462
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8649
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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