| |
1039 Foothill Blvd., La Canada Flintridge, CA 91011-3249 | |
(818) 790-4011 | |
(818) 790-4013 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1039 Foothill Blvd., La Canada Flintridge, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922554625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 31391 (California) | Primary |
Mailing Address | Practice Location Address |
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1039 Foothill Blvd., La Canada Flintridge, CA 91011-3249 Ph: (818) 790-4011 | 1039 Foothill Blvd., La Canada Flintridge, CA 91011-3249 Ph: (818) 790-4011 |
Dr. Brandon Carl Hagen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 464 Paulette Pl, La Canada Flintridge, CA 91011 Phone: 626-379-2375 |