Healthcare Provider Details

I. General information

NPI: 1952476848
Provider Name (Legal Business Name): MATTHEW J ARREDONDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19582 BEACH BLVD STE 180
HUNTINGTON BEACH CA
92648-5978
US

IV. Provider business mailing address

6571 DOHRN CIR
HUNTINGTON BEACH CA
92647-5614
US

V. Phone/Fax

Practice location:
  • Phone: 714-477-8050
  • Fax: 714-477-8053
Mailing address:
  • Phone: 856-343-8283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA75792
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD073274L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: