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 Urology Physician · NPI 1629751151

Children's Hospital of Orange County is a Pediatric Urology Physician in Orange, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1201 W La Veta Ave
Orange, CA 92868-4203
Phone: (714) 509-3919
Show map & directions

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

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X

Record details

NPI number1629751151
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 Urology
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address1201 W La Veta Ave, Orange, CA 92868-4203

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