Provider Demographics
NPI:1942799523
Name:HOAG CLINIC
Entity Type:Organization
Organization Name:HOAG CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-764-8444
Mailing Address - Street 1:510 SUPERIOR AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3664
Mailing Address - Country:US
Mailing Address - Phone:949-764-5700
Mailing Address - Fax:949-764-5820
Practice Address - Street 1:510 SUPERIOR AVE STE 290
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3664
Practice Address - Country:US
Practice Address - Phone:949-764-5700
Practice Address - Fax:949-764-5820
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOAG MEMORIAL HOSPITAL PRESBYTERIAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-09
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care