Provider Demographics
NPI:1144243601
Name:GAW, FELIX ROA (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:ROA
Last Name:GAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2674 E VISTA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-1704
Mailing Address - Country:US
Mailing Address - Phone:714-533-8885
Mailing Address - Fax:714-533-8884
Practice Address - Street 1:1211 W LA PALMA AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2815
Practice Address - Country:US
Practice Address - Phone:714-533-8885
Practice Address - Fax:714-533-8884
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA52839208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A528391Medicaid
CAG95819Medicare UPIN
CA00A528391Medicaid