Individual
CALVIN G HAGGLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25828 REDLANDS BLVD STE 102, REDLANDS, CA 92373-8450
(909) 558-6600
Mailing address
FILE # 54701, LOS ANGELES, CA 90074-4701
(909) 558-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A85993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A859930
—
CA
Enumeration date
07/04/2006
Last updated
06/04/2019
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