Healthcare Provider Details

I. General information

NPI: 1821174137
Provider Name (Legal Business Name): SHAWN H. HAMILTON, M.D.,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2006
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4902 IRVINE CENTER DR STE 105
IRVINE CA
92604-3334
US

IV. Provider business mailing address

1636 CRISP PEAR CT
LAS VEGAS NV
89108-1800
US

V. Phone/Fax

Practice location:
  • Phone: 949-651-9671
  • Fax: 949-653-0556
Mailing address:
  • Phone: 702-997-6651
  • Fax: 949-653-0556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHAWN HWANG HAMILTON
Title or Position: PRESIDENT/CEO, PHYSICIAN
Credential: MD MBA
Phone: 702-997-6651