Provider Demographics
NPI:1659381374
Name:UNITED ANESTHESIOLOGY, INC.
Entity Type:Organization
Organization Name:UNITED ANESTHESIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ATEF
Authorized Official - Middle Name:E
Authorized Official - Last Name:RAFLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-641-1111
Mailing Address - Street 1:3200 SOUTH BRISTOL STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704
Mailing Address - Country:US
Mailing Address - Phone:714-641-1111
Mailing Address - Fax:714-641-1212
Practice Address - Street 1:3200 SOUTH BRISTOL STREET
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704
Practice Address - Country:US
Practice Address - Phone:714-641-1111
Practice Address - Fax:714-641-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0101330Medicaid
CAGR0101330Medicaid