Organization
PACIFIC HOSPITALIST ASSOCIATES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESTON CHANDLER (PRESIDENT)
(949) 610-7245
Entity
Organization
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663
(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
BT01012507
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
CA
207RS0012X
Sleep 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
05/24/2006
Last updated
12/13/2024
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