Individual
KAVEH MATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 W STEWART DR, ORANGE, CA 92868-3849
(714) 744-8700
(714) 744-8695
Mailing address
PO BOX 1628, ORANGE, CA 92856-0628
(714) 560-1580
(714) 560-1585
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G65034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G50340
—
CA
01
—
00G650340
BLUE SHIELD
CA
Enumeration date
07/20/2006
Last updated
02/19/2015
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