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PEDIATRIC SUBSPECIALTY FACULTY INC. NPI 1790850279


NPI Information

NPI: 1790850279
Provider Name: PEDIATRIC SUBSPECIALTY FACULTY, INC.

Other Name: CHOC PEDIATRIC SUBSPECIALTY FACULTY

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1201 W LA VETA AVE
ORANGE, CA
ZIP 92868
Phone: (714) 509-8649
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PEDIATRIC SUBSPECIALTY FACULTY, INC. is a pediatrics in Orange, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC SUBSPECIALTY FACULTY, INC. NPI is 1790850279. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Choc Pediatric Subspecialty Faculty.

The provider's business location address is:

1201 W LA VETA AVE
ORANGE, CA
ZIP 92868-203
Phone: (714) 509-8649
Fax: (714) 509-8374

The provider's authorized official is Hale Kuhlman .
The authorized official title is Executive Director and has the following contact phone number (714) 532-8649.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 3/21/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics=========CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11679714844MEDICAIDCALIFORNIA
21003054420MEDICAIDCALIFORNIA
3ZZZ08568ZOTHERCALIFORNIABLUE SHIELD/1310
4ZZZ411188ZOTHERCALIFORNIABLUE SHIELD/455
51386834349MEDICAIDCALIFORNIA
61447440417MEDICAIDCALIFORNIA
71639310113MEDICAIDCALIFORNIA
81144468620MEDICAIDCALIFORNIA
91538359591MEDICAIDCALIFORNIA
101902096969MEDICAIDCALIFORNIA
11ZZZ079907OTHERCALIFORNIABLUE SHIELD/1201
121467642421MEDICAIDCALIFORNIA
13ZZZ08133ZOTHERCALIFORNIABLUE SHIELD/1120
141740470707MEDICAIDCALIFORNIA
151801086871MEDICAIDCALIFORNIA
161265673743MEDICAIDCALIFORNIA
171194915157MEDICAIDCALIFORNIA
181093905051MEDICAIDCALIFORNIA
191356531313MEDICAIDCALIFORNIA
201356531321MEDICAIDCALIFORNIA
211811187875MEDICAIDCALIFORNIA
22W16177MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP
231447440409MEDICAIDCALIFORNIA
241306098652MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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