Erin Kim Hazen, is a
Student In An Organized Health Care Education/training Program based in Concord, California. Erin Kim Hazen is licensed to practice in California (license number ) and her current practice location is
2425 Bisso Ln Ste 200, Concord, California. She can be reached at her office (for appointments etc.) via phone at
(925) 646-5468.
NPI number for Erin Kim Hazen is 1255013066 and her current mailing address is 420 Brewster Ave, Redwood City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255013066.
Healthcare Provider's Profile
| Full Name | Erin Kim Hazen |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2425 Bisso Ln Ste 200, Concord, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255013066
- Provider Enumeration Date: 08/01/2023
- Last Update Date: 06/26/2024
Medical Identifiers
Medical identifiers for Erin Kim Hazen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255013066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erin Kim Hazen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Erin Kim Hazen,
420 Brewster Ave,
Redwood City, CA 94063-1709
Ph: (201) 398-6728 | Erin Kim Hazen,
2425 Bisso Ln Ste 200,
Concord, CA 94520-4886
Ph: (925) 646-5468 |
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