Provider Demographics
NPI:1942312848
Name:ALAA Y AFIFI MD INCORPORATED
Entity Type:Organization
Organization Name:ALAA Y AFIFI MD INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAA
Authorized Official - Middle Name:YOUSSEF
Authorized Official - Last Name:AFIFI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-973-9903
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2086S0129X, 208G00000X
CAG871352086S0102X, 2086S0127X, 2086S0129X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Single Specialty
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG87135OtherSTATE MEDICAL LICENSE
CA00G871350Medicaid
CAG87135OtherSTATE MEDICAL LICENSE
W18182Medicare ID - Type Unspecified