Provider Demographics
NPI:1568783447
Name:GHADA Y AFIFI MD INC
Entity Type:Organization
Organization Name:GHADA Y AFIFI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GHADA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:AFIFI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-718-6900
Mailing Address - Street 1:1101 BAYSIDE DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92625-1703
Mailing Address - Country:US
Mailing Address - Phone:949-718-6900
Mailing Address - Fax:949-718-9367
Practice Address - Street 1:1101 BAYSIDE DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92625-1703
Practice Address - Country:US
Practice Address - Phone:949-718-6900
Practice Address - Fax:949-718-9367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-15
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty