Individual
KATHERINE M HAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, ROOM M335, LOS ANGELES, CA 90048
(310) 423-8000
Mailing address
PO BOX 4313, WOODLAND HILLS, CA 91365-4313
(805) 375-8800
(805) 375-8900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G70718
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G707180
—
CA
01
—
RHL137517
DEPT OF HEALTH SERVICES
CA
Enumeration date
03/20/2007
Last updated
03/07/2023
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