Provider Demographics
NPI:1407278179
Name:GAFFNEY, WILLIAM LEO (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LEO
Last Name:GAFFNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11582 RANCH HL
Mailing Address - Street 2:
Mailing Address - City:NORTH TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3130
Mailing Address - Country:US
Mailing Address - Phone:714-381-9006
Mailing Address - Fax:
Practice Address - Street 1:11582 RANCH HL
Practice Address - Street 2:
Practice Address - City:NORTH TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92705-3130
Practice Address - Country:US
Practice Address - Phone:714-381-9006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA23847207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology