# PEDIATRIC SUBSPECIALTY FACULTY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003054420
- **Authorized official:** HALE KUHLMAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (714) 289-4511

## Contact information

- **Practice address:** 455 S MAIN ST, GENERAL SURGERY, ORANGE, CA 92868-3835
- **Practice address phone:** (714) 364-4050
- **Practice address fax:** (714) 364-4051
- **Mailing address:** 455 S MAIN ST, GENERAL SURGERY, ORANGE, CA 92868-3835
- **Mailing address phone:** (714) 364-4050
- **Mailing address fax:** (714) 364-4051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | — | CA | Yes |

## Other

- **Enumeration date:** 01/22/2009
- **Last updated:** 10/07/2011