| NPI | 1386834349 |
|---|---|
| Other Name | PEDIATRIC SUBSPECIALTY FACULLY, INC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M FARACE Billing Manager 714-516-4295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G16543) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-02-25 |