Hagen, Gary Alan
Hagen, Gary Alan is an individual health care provider with primary practice located at 4203 E 4Th St , Long Beach CA 90814-2922. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hagen, Gary Alan can be contacted via phone (562) 433-1700.Contact Information
Primary practice address
4203 E 4Th St
Long Beach CA 90814-2922
Phone: (562) 433-1700
Fax: (562) 433-9945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6040T | California |
Profile Details
| NPI number | 1649242041 |
|---|---|
| LBN Legal business name | Hagen, Gary Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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