Healthcare Provider Details

I. General information

NPI: 1891520318
Provider Name (Legal Business Name): SOCAL HOSPITALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 PAVONA
NEWPORT COAST CA
92657-1217
US

IV. Provider business mailing address

4 PAVONA
NEWPORT COAST CA
92657-1217
US

V. Phone/Fax

Practice location:
  • Phone: 562-491-9469
  • Fax: 562-491-9380
Mailing address:
  • Phone: 562-491-9469
  • Fax: 562-491-9380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BABAK GACHPAZ
Title or Position: CEO/ PRESIDENT/ CME
Credential: MD
Phone: 562-491-9469