OrganizationActive
Children'S Hospital of Orange
NPI 1750624680 · Pediatric Nephrology Physician · Orange, CA
Provider details
- NPI number
- 1750624680
- Entity type
- Organization
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Children'S Hospital of Orange County
- Organization subpart
- Yes
- Authorized official
- Mark Kelly, Director, Cs Business Services(714) 509-7964
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1201 W La Veta Ave
Orange, CA 92868-4203
Phone: (714) 509-8324
Fax: (714) 509-4169
Approximate (ZIP-level) locationGet directions
Mailing address
1201 W La Veta Ave
Orange, CA 92868-4203
Other names (DBA / former)
- Doing business as
- Cs Nephrology
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2013-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.