Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Hospital of Orange County

Organization Pediatric Otolaryngology Physician · NPI 1104169606

Children's Hospital of Orange County is a Pediatric Otolaryngology Physician in Orange, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

1201 W La Veta Ave
Orange, CA 92868-4203
Phone: (714) 633-4020
Fax: (714) 953-5462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X (CA)

Record details

NPI number1104169606
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Hospital of Orange County
Authorized official Mark Kelly — Director, Cs Business Services · (714) 509-7964
Other names Cs Otolaryngology
NPI enumeratedApril 3, 2013
Last updated in NPPESOctober 17, 2013
Mailing address1201 W La Veta Ave, Orange, CA 92868-4203

Other providers in Orange