Organization
PACIFIC HOSPITALIST ASSOCIATES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESTON CHANDLER (PRESIDENT)
(949) 873-6181
Entity
Organization
Contact information
Practice address
16250 SAND CANYON AVE, IRVINE, CA 92618
(949) 873-6181
(949) 873-0418
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
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
CA
208000000X
Pediatrics Physician
—
CA
208M00000X
Hospitalist Physician
Primary
FNP28511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK2215
MEDICARE RAILROAD
CA
Enumeration date
05/11/2010
Last updated
12/13/2024
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