Provider Demographics
NPI:1700014529
Name:GHURABI, RAFFI JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:RAFFI
Middle Name:JOSEPH
Last Name:GHURABI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 W FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90044-2441
Mailing Address - Country:US
Mailing Address - Phone:323-776-1500
Mailing Address - Fax:
Practice Address - Street 1:1039 W FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-2441
Practice Address - Country:US
Practice Address - Phone:323-776-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101018484207R00000X
CA20A12210207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine