Healthcare Provider Details

I. General information

NPI: 1356147425
Provider Name (Legal Business Name): COUNTY OF ORANGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 THE CITY DR S
ORANGE CA
92868-3205
US

IV. Provider business mailing address

331 THE CITY DR S
ORANGE CA
92868-3205
US

V. Phone/Fax

Practice location:
  • Phone: 714-935-7160
  • Fax: 714-935-7131
Mailing address:
  • Phone: 714-935-7160
  • Fax: 714-935-7131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2400X
TaxonomyPrison Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KELLY KATHLEEN SABET
Title or Position: CHIEF COMPLIANCE OFFICER
Credential: LCSW,CHC,CHPC,CHRC
Phone: 714-834-3154