Organization · Type 2 NPI

Children's Hospital of Orange County

Plastic Surgery Physician · Orange, CA

NPI number 1194068692 Active

Practice location

1201 W La Veta Ave
Orange, CA 92868-4203

Fax (714) 509-8374

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	None listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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NPI record

NPI: 1194068692
Entity type: Organization (Type 2)
Issued: Apr 3, 2013
Last updated: Oct 17, 2013
Status: Active
Subpart: Yes of Children's Hospital of Orange County

Other names

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CS Plastics · doing business as

Authorized official

Mark Kelly
Director, CS Business Services
(714) 509-7964

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194068692

Children's Hospital of Orange County's National Provider Identifier is 1194068692, issued on Apr 3, 2013. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Orange, CA. The record was last updated on Oct 17, 2013.