Organization
IBTESAM RAFAEE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBTESAM RAFAEE MD (PRESIDENT)
(714) 533-2922
Entity
Organization
Contact information
Practice address
710 S BROOKHURST ST, SUITE A, ANAHEIM, CA 92804-4321
(714) 533-2922
(714) 533-2902
Mailing address
852 SAINT JAMES DR, CORONA, CA 92882-6881
(714) 533-2922
(714) 533-2902
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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