Provider Demographics
NPI:1477096659
Name:MORFIN, RAFAEL
Entity Type:Individual
Prefix:
First Name:RAFAEL
Middle Name:
Last Name:MORFIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 E VERMONT AVE
Mailing Address - Street 2:A
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-5606
Mailing Address - Country:US
Mailing Address - Phone:714-797-4782
Mailing Address - Fax:
Practice Address - Street 1:523 E VERMONT AVE
Practice Address - Street 2:A
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-5606
Practice Address - Country:US
Practice Address - Phone:714-797-4782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health