Healthcare Provider Details

I. General information

NPI: 1942312848
Provider Name (Legal Business Name): ALAA Y AFIFI MD INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 E FRUIT ST SUITE 207
SANTA ANA CA
92701-4479
US

IV. Provider business mailing address

PO BOX 10396
NEWPORT BEACH CA
92658-0396
US

V. Phone/Fax

Practice location:
  • Phone: 714-973-9903
  • Fax: 714-973-9909
Mailing address:
  • Phone: 714-973-9903
  • Fax: 714-973-9909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAA YOUSSEF AFIFI
Title or Position: PRESIDENT
Credential: MD
Phone: 714-973-9903