Provider Demographics
NPI:1740685387
Name:ABINANTE, MATTHEW WAYNE (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:WAYNE
Last Name:ABINANTE
Suffix:
Gender:M
Credentials:DO, MPH
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Mailing Address - Street 1:2729 BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-7930
Mailing Address - Country:US
Mailing Address - Phone:714-916-5210
Mailing Address - Fax:
Practice Address - Street 1:18800 DELAWARE ST STE 800
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-6019
Practice Address - Country:US
Practice Address - Phone:888-223-7863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A13506207QA0401X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty