Organization
PACIFIC HOSPITALIST ASSOCIATES A MEDICAL CORPORATION
Active
Other names
Pacific Hospitalist Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESTON CHANDLER MD (PRESIDENT)
(949) 873-6181
Entity
Organization
Contact information
Practice address
1555 SUPERIOR AVE, NEWPORT BEACH, CA 92663-3628
(949) 646-7764
(949) 574-5633
Mailing address
361 HOSPITAL RD STE 521, NEWPORT BEACH, CA 92663-3526
(949) 873-6181
(949) 873-0418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
FNP28511
CA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK2215
MEDICARE RAILROAD
CA
01
—
W15241
MEDICARE PTAN
CA
Enumeration date
09/23/2014
Last updated
06/27/2024
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