Provider Demographics
NPI:1356147425
Name:COUNTY OF ORANGE
Entity type:Organization
Organization Name:COUNTY OF ORANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:SABET
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,CHC,CHPC,CHRC
Authorized Official - Phone:714-834-3154
Mailing Address - Street 1:331 THE CITY DR S
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3205
Mailing Address - Country:US
Mailing Address - Phone:714-935-7160
Mailing Address - Fax:714-935-7131
Practice Address - Street 1:331 THE CITY DR S
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3205
Practice Address - Country:US
Practice Address - Phone:714-935-7160
Practice Address - Fax:714-935-7131
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF ORANGE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-20
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service