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NPI Code Detail

MEDICARE: CHOC CHILDREN'S HOSPITAL

MEDICARE: CHOC CHILDREN'S HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC2000XChildren's Hospital

General Provider Information

NPI Number : 1497185177
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHOC CHILDREN'S HOSPITAL
Provider Business Mailing Address
First Line : 1201 S. LA VETA AVENUE
Second Line :
City : ORANGE
State : CA
Zip : 92868
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W LA VETA AVE
Second Line :
City : ORANGE
State : CA
Zip : 92868-4203
Country : US
Telephone Number : 714-509-8624
Fax Number :
Authorized Official
Title or Position : CLINICAL MANAGER
Name : PATTY SCHRIVER
Credential : MSN, MHA, RN, CCRN
Telephone Number : 714-509-8624
Provider Enumeration Date : 11/18/2013
Last Update Date : 11/18/2013

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Directions to “CHOC CHILDREN'S HOSPITAL ” Practice Location

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