| Organization Name: | PEDIATRIC SUBSPECIALTY FACULTY, INC. |
| NPI Number: | 1003054420 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HALE KUHLMAN (EXECUTIVE DIRECTOR) |
| Mailing Address: | 455 S Main St General Surgery Orange |
| State: | CA US |
| Postal Code: | 928683835 |
| Phone Number: | 7143644050 |
| Fax Number: | 7143644051 |
| NPI Enumeration Date: | 01/22/2009 |
| NPI Last Update Date: | 10/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0120X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Pediatric Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |