Individual provider · Type 1 NPI

Matthew Hagen

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1891547873 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-5000

Call (573) 864-0897 Map

Other practice locations

  • 955 Powell Ave SW, Renton, WA 98057-2908 · (573) 864-0897

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1,412 other providers at this address

Other student in an organized health care education/training program providers in San Diego

See all in San Diego →

About NPI 1891547873

Matthew Hagen's National Provider Identifier is 1891547873, issued on Apr 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jan 25, 2026.