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 34 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