Organization · Type 2 NPI

Children's Hospital of Orange County

Mental Health Clinic/Center (Including Community Mental Health Center) · Orange, CA

NPI number 1780173583 Active

Practice location

1120 W La Veta Ave Ste 660/470
Orange, CA 92868

Call (714) 509-8210 Map

Fax (714) 509-8756

Mailing address

1201 W La Veta Ave
Orange, CA 92868-4203

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1780173583
Entity type: Organization (Type 2)
Issued: May 7, 2018
Last updated: Jul 10, 2023
Status: Active
Subpart: Yes of Children's Hospital of Orange County

Other names

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Cys Choc Project Health FSP · doing business as

Authorized official

Julie Moghal
Director
(714) 509-3355

Verify this record

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 1780173583

Children's Hospital of Orange County's National Provider Identifier is 1780173583, issued on May 7, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Orange, CA. The record was last updated on Jul 10, 2023.