Children'S Hospital Of Orange County
Clinic/Center, Mental Health (Including Community Mental Health Center) in Orange, CA. Organization (NPI-2).
NPI number1912875709
StatusActive
Last updated in NPPESOct 24, 2025
Details
- NPI
- 1912875709
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Hospital Of Orange County
- Organization subpart
- No
- Enumeration date
- Oct 24, 2025
- Certification date
- Oct 24, 2025
- Last updated
- Oct 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Cys Rady Children'S Day Treatment Intensive Program (Doing Business As)
Practice location
1120 W La Veta Ave Ste 400Orange, CA 92868-4243
Phone 714-509-8481 · Fax 855-246-2329
Mailing address
1201 W La Veta AveOrange, CA 92868-4203
Phone 714-509-8481 · Fax 855-246-2329
Authorized official
Zenicel J. Gonzales
Credentialing Manager
7145094511
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