Provider Demographics
NPI:1023450525
Name:WEST COAST HOSPITALISTS GROUP
Entity type:Organization
Organization Name:WEST COAST HOSPITALISTS GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING SHAREHOLDER
Authorized Official - Prefix:
Authorized Official - First Name:ANWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELHADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-397-0844
Mailing Address - Street 1:655 S MAIN ST
Mailing Address - Street 2:STE. 306
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4690
Mailing Address - Country:US
Mailing Address - Phone:714-397-0844
Mailing Address - Fax:
Practice Address - Street 1:655 S MAIN ST
Practice Address - Street 2:STE. 306
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4690
Practice Address - Country:US
Practice Address - Phone:714-397-0844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3544237207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty