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Organization
PEDITRIC SUBSPECIALY FACULTY
Active
Organization
PEDITRIC SUBSPECIALY FACULTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH FARACE FARACE (REVENUE CYCLE MANAGER)
(714) 516-4295
Entity
Organization
Contact information
Practice address
500 SUPERIOR AVE, NEWPORT BEACH, CA 92663-3657
(714) 516-4295
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 516-4295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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