Jeffrey Lars Hagen in Visalia - Foot & Ankle Surgery

Jeffrey Lars Hagen - NPI 1093792723

Jeffrey Lars Hagen is a Foot & Ankle Surgery in Visalia, California. Jeffrey Lars Hagen practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jeffrey Lars Hagen is 1093792723. The last update date is 2016-10-03.

Jeffrey Lars Hagen's current location address is 5400 W Hillsdale Ave, Visalia, California. You can contact this provider via phone number 5597387500 and fax number 5597342055. The mailing address for Jeffrey Lars Hagen is 5400 W Hillsdale Ave, Visalia, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Lars Hagen
Address 5400 W Hillsdale Ave, Visalia, California
Phone Number 5597387500
Fax Number 5597342055
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1093792723
Provider Enumeration Date 2005-12-23
Last Updated Date 2016-10-03

Provider Mailing Address Detail

Address 5400 W Hillsdale Ave
City Visalia
State California (CA)
Post Code 932918222
Phone Number 5597387500
Fax Number 5597342055

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No E4634
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1366570772 CA --
1366570772 CA GROUP NPI

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FAQs about Jeffrey Lars Hagen

What is the unique 10-digit identifier code issued to Jeffrey Lars Hagen by the Centers for Medicare & Medicaid Services?

The Jeffrey Lars Hagen has been assigned the NPI (National Provider Identifier) 1093792723 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jeffrey Lars Hagen's facilities are situated?

The facilities of Jeffrey Lars Hagen are physically located at the following address: 5400 W Hillsdale Ave, Visalia, CA, 932918222.

What is Jeffrey Lars Hagen's area of expertise and its corresponding taxonomy classification?

The Jeffrey Lars Hagen's field of specialization is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their areas of practice.

On what date did the Jeffrey Lars Hagen receive the assignment of its 1093792723 from the Centers for Medicare & Medicaid Services?

The Jeffrey Lars Hagen was issued its 1093792723 by the Centers for Medicare & Medicaid Services on 2005-12-23.

When was the information pertaining to Jeffrey Lars Hagen most recently updated or revised?

The details related to Jeffrey Lars Hagen, including its address, specialty, and other relevant information, were last updated or revised on 2016-10-03.

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