Healthcare Provider Details

I. General information

NPI: 1982386280
Provider Name (Legal Business Name): SUMMIT NEUROLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7781 GARFIELD AVE
HUNTINGTON BEACH CA
92648-2026
US

IV. Provider business mailing address

8941 ATLANTA AVE # 170
HUNTINGTON BEACH CA
92646-7121
US

V. Phone/Fax

Practice location:
  • Phone: 949-891-1530
  • Fax:
Mailing address:
  • Phone: 805-996-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD HAJIGHASEMI
Title or Position: OWNER
Credential: MD
Phone: 805-996-0456