Organization
PEDIATRIC SUBSPECIALTY FACULTY, INC.
Active
Parent organization
PEDIATRIC SUBSPECIALTY FACULTY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC SUBSPECIALTY FACULTY, INC.
Authorized official
HALE KUHLMAN (EXECUTIVE DIRECTOR)
(714) 289-4511
Entity
Organization
Contact information
Practice address
455 S MAIN ST, PSF NEONATOLOGY, ORANGE, CA 92868-3835
(714) 532-8620
(714) 289-4072
Mailing address
455 S MAIN ST, PSF NEONATOLOGY, ORANGE, CA 92868-3835
(714) 532-8620
(714) 289-4072
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093905051
—
CA
Enumeration date
01/22/2009
Last updated
01/22/2009
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