Provider Demographics
NPI:1134270069
Name:HAMILTON, SHAWN HWANG (MD)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:HWANG
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4902 IRVINE CENTER DR
Mailing Address - Street 2:ST. 105
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-3305
Mailing Address - Country:US
Mailing Address - Phone:949-651-9671
Mailing Address - Fax:949-653-0556
Practice Address - Street 1:4902 IRVINE CENTER DR
Practice Address - Street 2:ST. 105
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-3305
Practice Address - Country:US
Practice Address - Phone:949-651-9671
Practice Address - Fax:949-653-0556
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60652207R00000X
172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA677276Medicare UPIN