Individual
DR. KENT HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 HOSPITAL PKWY, SAN JOSE, CA 95119-1103
(925) 254-6444
(925) 254-6456
Mailing address
P.O. BOX 2143, ORINDA, CA 94563-3421
(925) 254-6444
(925) 254-6456
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C29501
CA
Other
Enumeration date
05/30/2012
Last updated
06/13/2012
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