Provider Demographics
NPI:1508603036
Name:ZANDIHAGHIGHI, SETAREH
Entity type:Individual
Prefix:
First Name:SETAREH
Middle Name:
Last Name:ZANDIHAGHIGHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21371 AVENIDA MANANTIAL
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-2125
Mailing Address - Country:US
Mailing Address - Phone:949-307-5086
Mailing Address - Fax:
Practice Address - Street 1:27799 MEDICAL CENTER RD STE 200
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6400
Practice Address - Country:US
Practice Address - Phone:949-242-6909
Practice Address - Fax:949-365-2271
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC001845170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170300000XOther Service ProvidersGenetic Counselor, MSGroup - Multi-Specialty