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Organization
PSF OPHTHALMOLOGY
Active
Organization
PSF OPHTHALMOLOGY
Active
Parent organization
PEDIATRIC SUBSPECIALTY FACULTY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC SUBSPECIALTY FACULTY, INC.
Authorized official
ELIZABETH FARACE (BILLING MANAGER)
(714) 516-4295
Entity
Organization
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 516-4295
(714) 289-4798
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 516-4295
(714) 289-4798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A74825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A748250
—
CA
Enumeration date
01/25/2008
Last updated
01/25/2008
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