Organization
PEDIATRIC SUBSPECIALTY FACULTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALE KUHLMAN (EXECUTIVE DIRECTOR)
(714) 289-4511
Entity
Organization
Contact information
Practice address
455 S MAIN ST, GENERAL SURGERY, ORANGE, CA 92868-3835
(714) 364-4050
(714) 364-4051
Mailing address
455 S MAIN ST, GENERAL SURGERY, ORANGE, CA 92868-3835
(714) 364-4050
(714) 364-4051
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
CA
Other
Enumeration date
01/22/2009
Last updated
10/07/2011
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