Individual
DR. GARY ALAN HAGEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4203 E 4TH ST, LONG BEACH, CA 90814-2922
(562) 433-1700
(562) 433-9945
Mailing address
4203 E 4TH ST, LONG BEACH, CA 90814-2922
(562) 433-1700
(562) 433-9945
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6040T
CA
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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