OrganizationRaef M Elsanadi Md Inc A Professional CorporationInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address27800 Medical Ctr Rd, 212, Mission Viejo, CA 92691(949) 364-3582PECOS EnrollmentBased on the most recent information from CMS, provider Raef M Elsanadi Md Inc A Professional Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1053482752Provider TypeOrganizationFull NameRaef M Elsanadi Md Inc A Professional CorporationSubpartNoEnumeration Date11/13/2006Last Updated3/7/2014Contact InformationPractice LocationPractice Address27800 Medical Ctr Rd, 212, Mission Viejo, CA 92691Phone(949) 364-3582Fax(949) 364-3582Mailing LocationMailing Address27800 Medical Ctr Rd, 212, Mission Viejo, CA 92691Phone(949) 364-3582Fax(949) 364-1472Authorized OfficialNameElsanadi, Raef M (President)Phone(949) 364-3582Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer