Organization
DAVID L HAUGEN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL L LOESCHER (BILLER)
(530) 367-4193
Entity
Organization
Contact information
Practice address
15366 DE LA CRUZ DR, RANCHO MURIETA, CA 95683-9719
(916) 354-4100
(530) 367-2974
Mailing address
15366 DE LA CRUZ DR, RANCHO MURIETA, CA 95683-9719
(916) 354-4100
(530) 367-2974
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00C313243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C313240
—
CA
Enumeration date
08/31/2010
Last updated
08/31/2010
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