Individual
DR. JAMES HAGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SIERRA COLLEGE DRIVE, SUITE A, GRASS VALLEY, CA 95945-5089
(530) 272-3411
(530) 272-3474
Mailing address
400 SIERRA COLLEGE DRIVE, SUITE A, GRASS VALLEY, CA 95945-5089
(530) 272-3411
(530) 272-3474
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
A20144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A20144
LICENSE
CA
01
—
A201440
MEDI CAL RENDERING NUMBER
CA
Enumeration date
06/29/2006
Last updated
07/09/2007
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