Organization · Type 2 NPI

Children's Hospital of Orange

Pediatric Nephrology Physician · Orange, CA

NPI number 1750624680 Active

Practice location

1201 W La Veta Ave
Orange, CA 92868-4203

Fax (714) 509-4169

Specialties and licenses

Taxonomy	Code	License
Pediatric Nephrology Physician Primary	2080P0210X	None listed

Pediatric Nephrology Physician: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

491 other providers at this address

NPI record

NPI: 1750624680
Entity type: Organization (Type 2)
Issued: Mar 28, 2013
Last updated: Oct 17, 2013
Status: Active
Subpart: Yes of Children's Hospital of Orange County

Other names

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CS Nephrology · 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 1750624680

Children's Hospital of Orange's National Provider Identifier is 1750624680, issued on Mar 28, 2013. The primary taxonomy on file is Pediatric Nephrology Physician (2080P0210X), and the practice location is in Orange, CA. The record was last updated on Oct 17, 2013.