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Organization
MISSION VIEJO OFFICE
Active
Organization
MISSION VIEJO OFFICE
Active
Parent organization
PEDIATRIC SUBSPECIALTY FACULTY, INC.
Other names
Pediatric Subspecialty Faculty, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC SUBSPECIALTY FACULTY, INC.
Authorized official
ELIZABETH M FARACE (MANAGER)
(714) 516-4295
Entity
Organization
Contact information
Practice address
27800 MEDICAL CENTER RD STE 138, MISSION VIEJO, CA 92691-6407
(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
—
CA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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