Provider Demographics
NPI:1083404511
Name:ABED HAGHIGHI, MATIN
Entity type:Individual
Prefix:
First Name:MATIN
Middle Name:
Last Name:ABED HAGHIGHI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 N MEADOW GROVE RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-2066
Mailing Address - Country:US
Mailing Address - Phone:714-981-5037
Mailing Address - Fax:
Practice Address - Street 1:2520 N MEADOW GROVE RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-2066
Practice Address - Country:US
Practice Address - Phone:714-981-5037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program