| Shawn Hamilton Md Inc | |
|
4902 Irvine Center Dr Ste 105 Irvine CA 92604-3334 | |
| (949) 651-9671 | |
| (949) 653-0556 |
| Full Name | Shawn Hamilton Md Inc |
|---|---|
| Speciality | Community Health Worker |
| Location | 4902 Irvine Center Dr Ste 105, Irvine, California |
| Authorized Official Name and Position | Shawn H Hamilton (PROVIDER/PRESIDENT) |
| Authorized Official Contact | 9496519671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Hamilton Md Inc 4902 Irvine Center Dr Ste 105 Irvine CA 92604-3334 Ph: (949) 651-9671 | Shawn Hamilton Md Inc 4902 Irvine Center Dr Ste 105 Irvine CA 92604-3334 Ph: (949) 651-9671 |
| NPI Number | 1821174137 |
|---|---|
| Provider Enumeration Date | 10/29/2006 |
| Last Update Date | 09/07/2023 |
| Medicare PECOS PAC ID | 0648216069 |
|---|---|
| Medicare Enrollment ID | O20050707000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821174137 | NPI | - | NPPES |
| 00A606520 | Medicaid | CA | |
| 05D0558250 | Other | CA | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
| Provider Name | Shawn H Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134270069 PECOS PAC ID: 7416111034 Enrollment ID: I20120612000246 |
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