# ESRAFIL ABEDI M D A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447500269
- **Authorized official:** ESRAFIL ABEDI M.D. (OWNER)
- **Authorized official phone:** (949) 470-0600

## Contact information

- **Practice address:** 23961 CALLE MAGDALENA ST, 430, LAGUNA HILLS, CA 92653-3685
- **Practice address phone:** (949) 470-0600
- **Practice address fax:** (949) 830-1095
- **Mailing address:** 23961 CALLE MAGDALENA, 430, LAGUNA HILLS, CA 92653-3685
- **Mailing address phone:** (949) 470-0600
- **Mailing address fax:** (949) 830-1095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | A30818 | CA | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 07/23/2024