Hagens, Theodore
Hagens, Theodore is an individual health care provider with primary practice located at 8700 Beverly Blvd # M335 , West Hollywood CA 90048-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hagens, Theodore can be contacted via phone (310) 423-3095.Contact Information
Primary practice address
8700 Beverly Blvd # M335
West Hollywood CA 90048-1804
Phone: (310) 423-3095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4351049044 | Michigan |
Profile Details
| NPI number | 1396486320 |
|---|---|
| LBN Legal business name | Hagens, Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2022 |
| Last updated | Jun 23rd, 2023 - about 2 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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