Provider Demographics
NPI:1962411447
Name:KFIR, MENASHE (MD)
Entity type:Individual
Prefix:DR
First Name:MENASHE
Middle Name:
Last Name:KFIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOAG DR BLDG 51
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4162
Mailing Address - Country:US
Mailing Address - Phone:949-763-7450
Mailing Address - Fax:949-763-7451
Practice Address - Street 1:1 HOAG DR BLDG 51
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4162
Practice Address - Country:US
Practice Address - Phone:949-763-7450
Practice Address - Fax:949-763-7451
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91290207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A912900Medicaid
CAWA91290AMedicare ID - Type Unspecified
CAI46491Medicare UPIN