Haga, Jeffrey A

Haga, Jeffrey A is an individual health care provider with primary practice located at 9500 Etiwanda Ave , Rancho Cucamonga CA 91739-9662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Haga, Jeffrey A can be contacted via phone (909) 463-5085.

Contact Information

Primary practice address
9500 Etiwanda Ave Rancho Cucamonga CA 91739-9662
Phone: (909) 463-5085
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A9334 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20A9334 California

Profile Details

NPI number 1902847320
LBN Legal business name Haga, Jeffrey A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 15th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902847320 NPPES
California MEDICAID 00AX93340

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