Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RAOUF A KAYALEH MD PROF MEDICAL CORP
Active
Organization
RAOUF A KAYALEH MD PROF MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAOUF ANTOINE KAYALEH M.D. (OWNER)
(714) 279-0711
Entity
Organization
Contact information
Practice address
1125 E 17TH ST, SUITE E-109, SANTA ANA, CA 92701-2201
(909) 374-0804
Mailing address
1125 E 17TH ST, SUITE E-109, SANTA ANA, CA 92701-2201
(909) 374-0804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C41449
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
C41449
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C414491
—
CA
Enumeration date
04/15/2014
Last updated
06/19/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up