Provider Demographics
NPI:1437744851
Name:UNIFIED PHYSICIAN ASSOCIATES INC
Entity Type:Organization
Organization Name:UNIFIED PHYSICIAN ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ATEF
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-474-6668
Mailing Address - Street 1:3200 S BRISTOL ST STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6711
Mailing Address - Country:US
Mailing Address - Phone:714-641-1111
Mailing Address - Fax:
Practice Address - Street 1:3200 S BRISTOL ST STE B
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6711
Practice Address - Country:US
Practice Address - Phone:714-641-1111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty