Provider Demographics
NPI:1609802552
Name:AFIFI, ALAA YOUSSEF (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAA
Middle Name:YOUSSEF
Last Name:AFIFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 10396
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92658-0396
Mailing Address - Country:US
Mailing Address - Phone:714-973-9903
Mailing Address - Fax:714-973-9909
Practice Address - Street 1:2200 E FRUIT ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4479
Practice Address - Country:US
Practice Address - Phone:714-973-9903
Practice Address - Fax:714-973-9909
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG87135207RC0000X, 208600000X, 2086S0102X, 2086S0127X, 2086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G871350Medicaid
G97772Medicare UPIN
W18182Medicare ID - Type Unspecified