Provider First Line Business Practice Location Address:
CHOC CHILDREN'S HOSPITAL OF ORANGE
Provider Second Line Business Practice Location Address:
1201 W. LE VETA AVENUE
Provider Business Practice Location Address City Name:
ORANGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92868
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-509-9331
Provider Business Practice Location Address Fax Number:
402-955-7405
Provider Enumeration Date:
11/17/2006