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1518403278
CHOC CHILDREN'S UROLOGY CENTER
ORANGE, CA
NPI
1518403278
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Entity Type
Organization
Authorized Contact
MANUEL PORTO
President & CEO
714-456-2986
Organization Subpart ?
Yes
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2017-01-18
Last Update Date
2017-01-18
Business Address
CHOC CHILDREN'S UROLOGY CENTER
505 S MAIN ST SUITE 100
ORANGE, CA 92868-4509
Phone number: 714-509-3919
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Mailing Address
CHOC CHILDREN'S UROLOGY CENTER
PO BOX 51342
LOS ANGELES, CA 90051-5642
Phone number: 714-456-6054
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