PEDIATRIC SUBSPECIALTY FACULTY INC. NPI 1003054420

NPI Information

PEDIATRIC SUBSPECIALTY FACULTY, INC. is a pediatric surgery surgery in Orange, CA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PEDIATRIC SUBSPECIALTY FACULTY, INC. NPI is 1003054420. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

455 S MAIN ST
GENERAL SURGERY
ORANGE, CA
ZIP 92868-835
Phone: (714) 364-4050
Fax: (714) 364-4051

The provider's authorized official is Hale Kuhlman .
The authorized official title is Executive Director and has the following contact phone number (714) 289-4511.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 10/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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