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 Cardiovascular Disease Physician · NPI 1164882999

Children's Hospital of Orange County is a Cardiovascular Disease Physician in Orange, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

1201 W La Veta Ave
Orange, CA 92868-4203
Phone: (714) 509-8649
Fax: (714) 509-8374
Show map & directions

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

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X (CA)
Cardiovascular Disease Physician Taxonomy 207RC0000X (CA)

Record details

NPI number1164882999
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Hospital of Orange County
Authorized official Mark Kelly — Director Revenue Cycle Support · (714) 509-7861
Other names Cs Cardiothoracic Surgery
NPI enumeratedMarch 7, 2016
Last updated in NPPESApril 6, 2016
Mailing address1201 W La Veta Ave, Orange, CA 92868-4203

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