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Organization

PEDIATRIC SUBSPECIALTY FACULTY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HALE KUHLMAN (EXECUTIVE DIRECTOR)
(714) 532-8649
Entity
Organization

Contact information

Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 532-8649
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 532-8649

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
207SG0202X
Clinical Biochemical Genetics Physician

Other

Enumeration date
03/13/2009
Last updated
03/13/2009
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