Jeffrey Lars Hagen in Visalia - Podiatrist
Jeffrey Lars Hagen - NPI 1093792723
Jeffrey Lars Hagen is a Podiatrist in Visalia, California. Jeffrey Lars Hagen practices all healthcare services and medical treatments related to Podiatrist. 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 |
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Address | 5400 W Hillsdale Ave, Visalia, California |
Phone Number | 5597387500 |
Fax Number | 5597342055 |
Sole Proprietor | N |
Credentials | DPM |
NPI Number Detail
NPI Number | 1093792723 |
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Provider Enumeration Date | 2005-12-23 |
Last Updated Date | 2016-10-03 |
Provider Mailing Address Detail
Address | 5400 W Hillsdale Ave |
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City | Visalia |
State | California (CA) |
Post Code | 932918222 |
Phone Number | 5597387500 |
Fax Number | 5597342055 |
Provider's Primary Taxonomy Detail
Speciality | Podiatrist |
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Taxonomy | 213E00000X |
Licence No | E4634 |
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1366570772 | CA | -- | |
1366570772 | CA | GROUP NPI |
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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 Podiatrist, and it falls under the taxonomy code 213E00000X, 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.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA