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 Urology Physician · NPI 1629751151

Children's Hospital of Orange County provides Pediatric Urology Physician services in Orange, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1201 W La Veta Ave
Orange, CA 92868-4203
Phone: (714) 509-3919
Show map & directions

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

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X

Record details

NPI number1629751151
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Hospital of Orange County
Authorized official Mark Kelly — Director, Revenue Cycle Support · (714) 509-7861
Other names Cs Urology
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address1201 W La Veta Ave, Orange, CA 92868-4203

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