| Organization Name: | CHILDREN'S HOSPITAL OF ORANGE COUNTY |
| NPI Number: | 1003159500 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK KELLY (DIRECTOR, BUSINESS SERVICES) |
| Mailing Address: | 1201 W La Veta Ave Orange |
| State: | CA US |
| Postal Code: | 928684203 |
| Phone Number: | 7145098649 |
| Fax Number: | 7145098374 |
| NPI Enumeration Date: | 04/03/2013 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0120X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Pediatric Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |