Individual provider · Type 1 NPI

Theodore Hagens, MD

Diagnostic Radiology Physician · West Hollywood, CA

NPI number 1396486320 Active

Practice location

8700 Beverly Blvd # M335
West Hollywood, CA 90048-1804

Call (310) 423-3095 Map

Mailing address

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4351049044 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4 other providers at this address

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About NPI 1396486320

Theodore Hagens, MD's National Provider Identifier is 1396486320, issued on Apr 5, 2022. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in West Hollywood, CA. The record was last updated on Jun 23, 2023.