Organization
THEODORE AFFUE M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE AFFUE (PRESIDENT)
(760) 353-8181
Entity
Organization
Contact information
Practice address
2061 ROSS AVE STE A&B, EL CENTRO, CA 92243-3687
(760) 353-8181
(760) 353-8282
Mailing address
2061 ROSS AVE STE A, EL CENTRO, CA 92243-3687
(760) 353-8181
(760) 353-8282
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G58320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G853200
MEDI-CAL
CA
Enumeration date
10/05/2006
Last updated
10/02/2025
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