| Pacific Hospitalist Associates | |
|
1555 Superior Ave Newport Beach CA 92663-3628 | |
| (949) 646-7764 | |
| (949) 574-5633 |
| Full Name | Pacific Hospitalist Associates |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 1555 Superior Ave, Newport Beach, California |
| Authorized Official Name and Position | Weston Chandler (PRESIDENT) |
| Authorized Official Contact | 9498736181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Hospitalist Associates 361 Hospital Rd Ste 521 Newport Beach CA 92663-3526 Ph: (949) 873-6181 | Pacific Hospitalist Associates 1555 Superior Ave Newport Beach CA 92663-3628 Ph: (949) 646-7764 |
| NPI Number | 1306248240 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306248240 | NPI | - | NPPES |
| CK2215 | Other | CA | MEDICARE RAILROAD |
| W15241 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | FNP28511 (California) | Secondary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Primary |
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