MEDICARE: DAVID L HAUGEN, M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	00C313243	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427364215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID L HAUGEN, M.D., INC.

Provider Business Mailing Address
First Line	:	15366 DE LA CRUZ DR
Second Line	:
City	:	RANCHO MURIETA
State	:	CA
Zip	:	95683-9719
Country	:	US
Telephone Number	:	916-354-4100
Fax Number	:	530-367-2974

Provider Business Practice Location Address
First Line	:	15366 DE LA CRUZ DR
Second Line	:
City	:	RANCHO MURIETA
State	:	CA
Zip	:	95683-9719
Country	:	US
Telephone Number	:	916-354-4100
Fax Number	:	530-367-2974

Authorized Official
Title or Position	:	BILLER
Name	:	GAIL L LOESCHER
Credential	:
Telephone Number	:	530-367-4193

Provider Enumeration Date	:	08/31/2010
Last Update Date	:	08/31/2010

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Directions to “DAVID L HAUGEN, M.D., INC. ” Practice Location

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