Whalio Doctors

NPI 1174606404

Suhail I Hawatt MD

Organisation Non-Pharmacy Dispensing Site Laguna Hills, CA

Practice location

Address
23961 Calle de La Magdalena STE 517, Laguna Hills, CA 92653-7628
Phone
(949) 830-4082
Fax
(949) 830-4344

Authorised official

Name
Direndia Shackelford
Title
Managed Care Specialist
Phone
(800) 654-0889

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence C37808 (CA)

Registry record

NPI
1174606404
Entity type
Organization
NPI issued
23 Oct 2006
Record last updated
16 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.