Healthcare Provider Details

I. General information

NPI: 1417335001
Provider Name (Legal Business Name): SHAWN H. HAMILTON, M.D.,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
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

304 S JONES BLVD STE 2404
LAS VEGAS NV
89107-2623
US

V. Phone/Fax

Practice location:
  • Phone: 949-651-9671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License NumberNP95001413
License Number StateCA

VIII. Authorized Official

Name: SHAWN HAMILTON
Title or Position: MD
Credential:
Phone: 702-997-6651