Organization
CHILDREN'S HOSPITAL OF ORANGE COUNTY
Active
Other names
CYS Rady Children's Day Treatment Intensive Program
Organization subpart
No
Provider details
NPI number
Authorized official
ZENICEL J. GONZALES (CREDENTIALING MANAGER)
(714) 509-4511
Entity
Organization
Contact information
Practice address
1120 W LA VETA AVE STE 400, ORANGE, CA 92868-4243
(714) 509-8481
(855) 246-2329
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8481
(855) 246-2329
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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