PEDIATRIC SUBSPECIALTY FACULTY NPI 1952614398

NPI Information

PEDIATRIC SUBSPECIALTY FACULTY is a pediatrics nurse practitioner in Orange, CA. PEDIATRIC SUBSPECIALTY FACULTY NPI is 1952614398. 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
ORANGE, CA
ZIP 92868-835
Phone: (714) 532-8649

The provider's authorized official is Diane Nugent .
The authorized official title is Medical Director Of Hematology and has the following contact phone number (714) 532-8649.

The enumeration date for this NPI number is 7/14/2010 and was last updated on 7/14/2010.

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:

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