Provider Demographics
NPI:1205040649
Name:HOAG HOSPITAL
Entity Type:Organization
Organization Name:HOAG HOSPITAL
Other - Org Name:HOAG MEMORIAL HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:EVELYN
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:949-764-5661
Mailing Address - Street 1:3 BOTTLEBRUSH
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-2121
Mailing Address - Country:US
Mailing Address - Phone:949-246-0311
Mailing Address - Fax:
Practice Address - Street 1:1 HOAG DR
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4162
Practice Address - Country:US
Practice Address - Phone:949-764-4624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA596361282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural