Dr. Jeffrey Lars Hagen
Podiatrist Foot & Ankle Surgery
5400 W Hillsdale Ave
Visalia
, California 93291-8222
Dr. Jeffrey Lars Hagen
Podiatrist Foot & Ankle Surgery
5400 W Hillsdale Ave
Visalia
, California 93291-8222
(559) 734-2055
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About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Lars Hagen
- 5400 W Hillsdale Ave
- Visalia, CA
- Zip : 93291-8222
- Fax : (559) 734-2055
- Phone : (559) 738-7500
Second Address
- Dr. Jeffrey Lars Hagen
- 5400 W Hillsdale Ave
- Visalia, CA
- Zip : 93291-8222
- Fax : (559) 734-2055
- Phone : (559) 738-7500
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Is Dr. Jeffrey Lars Hagen a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E4634 | CA |
| Y | 222Z00000X | Podiatrist | E4634 | CA |
| N | 213ES0103X | Foot & Ankle Surgery | E4634 | CA |
| N | 213ES0103X | Foot & Ankle Surgery | PO807 | WA |
National Provider Identifier
| NPI | 1093792723 |
|---|---|
| Provider Name | Dr. Jeffrey Lars Hagen |
| First Address | Visalia, CA 93291-8222 |
| Second Address | Visalia, CA 93291-8222 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/12/2005 |
| Last Update Date | 03/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1366570772 | (05) | CA |
| 1366570772 | GROUP NPI (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.