Provider Demographics
NPI:1881714277
Name:AREFI, LAILA S (PA)
Entity type:Individual
Prefix:MRS
First Name:LAILA
Middle Name:S
Last Name:AREFI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:LAILA
Other - Middle Name:
Other - Last Name:STANIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1310 W. STEWART DR.
Mailing Address - Street 2:SUITE 602
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3854
Mailing Address - Country:US
Mailing Address - Phone:714-639-0414
Mailing Address - Fax:714-639-3313
Practice Address - Street 1:1310 W. STEWART DR.
Practice Address - Street 2:SUITE 602
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3854
Practice Address - Country:US
Practice Address - Phone:714-639-0414
Practice Address - Fax:714-639-3313
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009200363A00000X
CA18476363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant