Individual
KATHARYN HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 ALAMO PINTADO RD, SOLVANG, CA 93463-2269
(805) 686-3965
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A49903
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A49903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A499030
EDS - MEDICAL
CA
Enumeration date
01/15/2007
Last updated
08/27/2014
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