Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Children's Hospital of Orange County

Organization Pediatric Otolaryngology Physician · NPI 1104169606

Children's Hospital of Orange County provides Pediatric Otolaryngology Physician services in Orange, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

1201 W La Veta Ave
Orange, CA 92868-4203 Not confirmed with CMS for 12 years — call before visiting
Phone: (714) 633-4020
Fax: (714) 953-5462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X (CA)

Record details

NPI number1104169606
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Hospital of Orange County
Authorized official Mark Kelly — Director, Cs Business Services · (714) 509-7964
Other names Cs Otolaryngology
NPI enumeratedApril 3, 2013
Last updated in NPPESOctober 17, 2013
Mailing address1201 W La Veta Ave, Orange, CA 92868-4203

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