Organization
MOWBRAY P HAGAN, MD, INC
Active
Parent organization
MOWBRAY P HAGAN, MD, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOWBRAY P HAGAN, MD, INC
Authorized official
MOWBRAY HAGAN MD (OWNER)
(951) 734-6110
Entity
Organization
Contact information
Practice address
482 CORONA MALL, CORONA, CA 92879-1418
(951) 734-6110
Mailing address
2980 N BEVERLY GLEN CIR, STE 100, LOS ANGELES, CA 90077-1726
(888) 431-8819
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
10/05/2015
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