OrganizationActive
Suhail I Hawatt MD
NPI 1174606404 · Non-Pharmacy Dispensing Site · Laguna Hills, CA
Provider details
- NPI number
- 1174606404
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Direndia Shackelford, Managed Care Specialist(800) 654-0889
- License
- C37808 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23961 Calle De La Magdalena Ste 517
Laguna Hills, CA 92653-7628
Phone: (949) 830-4082
Fax: (949) 830-4344
Street-level locationGet directions
Mailing address
23961 Calle De La Magdalena Ste 517
Laguna Hills, CA 92653-7628
Other names (DBA / former)
- Doing business as
- Suhail I Hawatt MD
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.