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Organization

PEDIATRIC SUBSPECIALTY FACULTY, INC.

Active
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Organization

PEDIATRIC SUBSPECIALTY FACULTY, INC.

Active
Parent organization
CORONA OFFICE
Organization subpart
Yes

Provider details

NPI number
Legal business name
CORONA OFFICE
Authorized official
MS. ELIZABETH M FARACE (MANAGER)
(714) 516-4295
Entity
Organization

Contact information

Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 516-4295
(714) 516-4328
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 516-4295
(714) 516-4328

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—

Other

Enumeration date
03/23/2011
Last updated
03/23/2011
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