Pediatric Subspecialty Faculty, Inc.
Pediatrics
Pediatric Subspecialty Faculty, Inc. is a Orange, California based Pediatric center with medical specialization in
General Pediatrics. Pediatric Subspecialty Faculty, Inc. is also known as
Choc Pediatric Subspecialty Faculty.
It is located at
1201 W La Veta Ave, Orange, California - 92868-4203. They can be contacted on phone at
714-509-8649 and fax number 714-509-8374.
NPI number (Unique professional ID) for Pediatric Subspecialty Faculty, Inc. is
1790850279 which was assigned by NPPES on 21 Nov, 2006 and it was last updated on 21 Jul, 2022.
Pediatric Subspecialty Faculty, Inc. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Pediatric Subspecialty Faculty, Inc. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Pediatric Subspecialty Faculty, Inc. |
|---|
| Other Name : | Choc Pediatric Subspecialty Faculty |
|---|
Business Address:
Pediatric Subspecialty Faculty, Inc. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1201 W La Veta Ave
Orange, CA, 92868-4203
United States |
|---|
| Phone Number : | 714-509-8649 |
|---|
| Fax Number : | 714-509-8374 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790850279 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 21 Nov, 2006 |
|---|
| Last Updated On : | 21 Jul, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Hale Kuhlman |
|---|
| Official Title or Position : | EXECUTIVE DIRECTOR |
|---|
| Phone Number : | 714-532-8649 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Subspecialty Faculty, Inc. are as mentioned. Primary taxonomy code for Pediatric Subspecialty Faculty, Inc. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | CA |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Subspecialty Faculty, Inc. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1144468620 | MEDICAID | CA | |
| 1306098652 | MEDICAID | CA | |
| 1467642421 | MEDICAID | CA | |
| 1538359591 | MEDICAID | CA | |
| 1003054420 | MEDICAID | CA | |
| 1093905051 | MEDICAID | CA | |
| 1386834349 | MEDICAID | CA | |
| 1447440417 | MEDICAID | CA | |
| 1902096969 | MEDICAID | CA | |
| 1356531313 | MEDICAID | CA | |
| 1639310113 | MEDICAID | CA | |
| 1679714844 | MEDICAID | CA | |
| ZZZ079907 | Other | CA | BLUE SHIELD/1201 |
| 1801086871 | MEDICAID | CA | |
| 1811187875 | MEDICAID | CA | |
| 1194915157 | MEDICAID | CA | |
| ZZZ08133Z | Other | CA | BLUE SHIELD/1120 |
| 1265673743 | MEDICAID | CA | |
| 1356531321 | MEDICAID | CA | |
| 1447440409 | MEDICAID | CA | |
| 1740470707 | MEDICAID | CA | |
| ZZZ08568Z | Other | CA | BLUE SHIELD/1310 |
| ZZZ411188Z | Other | CA | BLUE SHIELD/455 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 455 S Main St
Orange, CA, 92868-3835
United States |
|---|
| Phone Number : | 715-094-8649 |
|---|
| Fax Number : | 714-509-8374 |
|---|
Business Location:
Patients can refer following map for directions to
Pediatric Subspecialty Faculty, Inc. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.