Raouf A Kayaleh Md Prof Medical Corp
LBN: Raouf A Kayaleh Md Prof Medical Corp
Raouf A Kayaleh Md Prof Medical Corp is an health care organization with primary practice located at 1125 E 17Th St Suite E-109, Santa Ana CA 92701-2201. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Raouf A Kayaleh Md Prof Medical Corp can be contacted via phone (909) 374-0804, or through Kayaleh, Raouf Antoine via phone (714) 279-0711.
Contact Information
Primary practice address
1125 E 17Th St Suite E-109
Santa Ana CA 92701-2201
Phone: (909) 374-0804
Fax:
Website:
Authorized official contact:
Name: Kayaleh, Raouf Antoine Doctor of Medicine (MD)
Phone: (714) 279-0711
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C41449 | California |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | C41449 | California |
Profile Details
| NPI number | 1770902900 |
|---|---|
| LBN Legal business name | Raouf A Kayaleh Md Prof Medical Corp |
| DBA Doing business as | |
| Authorized official | Kayaleh, Raouf Antoine Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 15th, 2014 |
| Last updated | Jun 19th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770902900 | NPPES |
| California | MEDICAID | 00C414491 |
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