Individual provider · Type 1 NPI

Liv S. Hagstrom, PA-C

Surgical Physician Assistant · Santa Monica, CA

NPI number 1811986672 Active

Practice location

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303

Call (310) 829-8618 Map

Fax (310) 829-8607

Mailing address

75 Francis St, Cardiovascular Division
Boston, MA 02115-6110

Other practice locations

  • 75 Francis St, Cardiovascular Division, Boston, MA 02115-6110 · (617) 733-9667

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA10004777 (WA)

Surgical Physician Assistant: Definition to come...

139 other providers at this address

Other surgical physician assistant providers in Santa Monica

See all in Santa Monica →

About NPI 1811986672

Liv S. Hagstrom, PA-C's National Provider Identifier is 1811986672, issued on Oct 14, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Santa Monica, CA. The record was last updated on Apr 13, 2021.