Individual
DR. THEODORE AFFUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2061 ROSS AVE, SUITE A, EL CENTRO, CA 92243-3687
(760) 353-8181
(760) 353-8282
Mailing address
2061 ROSS AVE, SUITE A, EL CENTRO, CA 92243-3687
(760) 353-8181
(760) 353-8282
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G85320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G853200
MEDI-CAL
CA
Enumeration date
07/05/2006
Last updated
05/04/2011
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