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General NPI Number Information
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NPI Number | 1366636045
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Entity Type | Organization
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Legal Business Name | AFSHIN GERAYLI MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 25982 PALA STE 280
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6729
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Country | US
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Telephone | 949-297-3838
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Fax | 949-297-3839
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Provider Business Mailing Address
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Address Line | 25982 PALA STE 280
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6729
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Country | US
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Telephone | 949-297-3838
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Fax | 949-297-3839
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ANNA GERAYLI
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Credential |
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Telephone | 949-230-5776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G80098
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License Number State | CA
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