Provider Demographics
NPI:1023823309
Name:AFYOUNI, ANDREW SHEA
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:SHEA
Last Name:AFYOUNI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ANDYSHEA
Other - Middle Name:
Other - Last Name:AFYOUNI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:207 GABRIELINO DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92617-4098
Mailing Address - Country:US
Mailing Address - Phone:949-929-6842
Mailing Address - Fax:
Practice Address - Street 1:3800 W CHAPMAN AVE STE 7200
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-1623
Practice Address - Country:US
Practice Address - Phone:714-906-7628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program