Ibtesam Rafaee MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

IBTESAM RAFAEE MD INC

Practice address

710 S Brookhurst St
Suite a
Anaheim, CA 92804-4321

Phone

(714) 533-2922

Fax

(714) 533-2902

NPI assigned

Nov 19, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ibtesam Rafaee, MD

Title

President

Phone

(714) 533-2922

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1962704106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 SAINT JAMES DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928826881",
            "telephone_number": "714-533-2922",
            "fax_number": "714-533-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BROOKHURST ST",
            "address_2": "SUITE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044321",
            "telephone_number": "714-533-2922",
            "fax_number": "714-533-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBTESAM RAFAEE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "RAFAEE",
        "authorized_official_first_name": "IBTESAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-533-2922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.