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Organization
PSF ALLERGY
Active
Organization
PSF ALLERGY
Active
Other names
Pediatric Subspecialty Facully, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH M FARACE (BILLING MANAGER)
(714) 516-4295
Entity
Organization
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 516-4295
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 516-4295
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G16543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790850279
CORP
CA
05
—
GR0090394
—
CA
05
—
GR0090400
—
CA
05
—
GR0090401
—
CA
05
—
GR0090402
—
CA
05
—
GR0090403
—
CA
Enumeration date
07/26/2007
Last updated
02/25/2008
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