Individual provider · Type 1 NPI

Jesse Daniel Hoagland, PA-C

Medical Physician Assistant · Los Angeles, CA

NPI number 1124360839 Active

Practice location

808 W 58th St
Los Angeles, CA 90037-3632

Call (323) 541-1411 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X52657 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1124360839

Jesse Daniel Hoagland, PA-C's National Provider Identifier is 1124360839, issued on Mar 20, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 25, 2025.