Individual ProviderDennis P HaghighatInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address26800 Crown Valley Pkwy, Suite 100, Mission Viejo, CA 92691-6306(949) 364-6000(949) 282-1600PECOS EnrollmentBased on the most recent information from CMS, provider Dennis P Haghighat 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 ID1568449171Provider TypeIndividualFull NameHaghighat, Dennis PTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date12/23/2005Last Updated11/6/2008Contact InformationPractice LocationPractice Address26800 Crown Valley Pkwy, Suite 100, Mission Viejo, CA 92691-6306Phone(949) 364-6000Fax(949) 364-3430Mailing LocationMailing Address27451 Los Altos, Suite 100, Mission Viejo, CA 92691-6331Phone(949) 282-1600Fax(949) 367-0518Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG61750CaliforniaProvider IdentifiersIDDescriptionIssuerID00G617500DescriptionMedicaidIssuerUnlistedCalifornia