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 34 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