Organization
PEDIATRIC SUBSPECIALTY FACULTY, INC.
Active
Parent organization
PSF OTOLARYNGOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSF OTOLARYNGOLOGY
Authorized official
HALE KUHLMAN (EXECUTIVE DIRECTOR)
(714) 532-8649
Entity
Organization
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 633-4020
(714) 953-5462
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 633-4020
(714) 953-5462
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
A54475
CA
Other
Enumeration date
10/17/2008
Last updated
05/16/2011
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