Provider Demographics
NPI:1326205097
Name:HOAG HOSPITAL
Entity Type:Organization
Organization Name:HOAG HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:AFABLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-645-8600
Mailing Address - Street 1:1 HOAG DR
Mailing Address - Street 2:CARDIOLOGY
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4162
Mailing Address - Country:US
Mailing Address - Phone:949-764-6553
Mailing Address - Fax:
Practice Address - Street 1:122 LESSAY
Practice Address - Street 2:
Practice Address - City:NEWPORT COAST
Practice Address - State:CA
Practice Address - Zip Code:92657-1017
Practice Address - Country:US
Practice Address - Phone:949-764-6553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA434593282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital