Suhail I Hawatt MD

NPI #1174606404 in Laguna Hills, California

Provider Information

NPI Number
1174606404
Entity Type
Organization
Organization Name
Suhail I Hawatt MD
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Oct 23, 2006
Last Updated
Jun 16, 2008

Practice Location

Address
23961 CALLE DE LA MAGDALENA STE 517
ZIP Code
92653-7628
Phone
(949) 830-4082

Authorized Official

Name
DIRENDIA SHACKELFORD
Title
MANAGED CARE SPECIALIST
Phone
(800) 654-0889

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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