Provider Demographics
NPI:1205878568
Name:GERAYLI, AFSHIN S (MD)
Entity type:Individual
Prefix:DR
First Name:AFSHIN
Middle Name:S
Last Name:GERAYLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:35 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4724
Mailing Address - Country:US
Mailing Address - Phone:949-297-3838
Mailing Address - Fax:949-297-3839
Practice Address - Street 1:24953 PASEO DE VALENCIA
Practice Address - Street 2:SUITE#14-C
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4342
Practice Address - Country:US
Practice Address - Phone:949-855-7560
Practice Address - Fax:949-855-7590
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG080098207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF94074Medicare UPIN
CAG80098AMedicare PIN