MEDICARE: DR. GARY ALAN HAGEN OD

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	152W00000X	Optometrist	6040T	CA

General Provider Information

NPI Number	:	1649242041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY ALAN HAGEN OD

Provider Business Mailing Address
First Line	:	4203 E 4TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-2922
Country	:	US
Telephone Number	:	562-433-1700
Fax Number	:	562-433-9945

Provider Business Practice Location Address
First Line	:	4203 E 4TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-2922
Country	:	US
Telephone Number	:	562-433-1700
Fax Number	:	562-433-9945

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1104843028 — SINAVY SAO O.D.
Practice Location Address:

4203 E 4TH ST
LONG BEACH, CA
90814-2922

Practice Phone: 562-433-1700
Practice Fax: 562-433-9945

1518241983 — GLASS HOUSE OPTOMETRY INC
Practice Location Address:

4203 E 4TH ST
LONG BEACH, CA
90814-2922

Practice Phone: 562-433-1700
Practice Fax:

1891127601 — ASIA NICOLE PAYNE LCSW
Practice Location Address:

6187 ATLANTIC AVE # 7008
LONG BEACH, CA
90805-2922

Practice Phone: 562-542-7205
Practice Fax:

1164838520 — LINDA TATIANA ESPINOZA
Practice Location Address:

6187 ATLANTIC AVE # 2053
LONG BEACH, CA
90805-2922

Practice Phone: 562-245-9828
Practice Fax: 866-280-7964

1043954605 — JASMINE TAYLOR
Practice Location Address:

2939 SANTA FE AVE APT 2
LONG BEACH, CA
90810-2922

Practice Phone: 510-316-4968
Practice Fax:

1588384952 — CHRISTOPHER GOLVEO
Practice Location Address:

2495 MAINE AVE
LONG BEACH, CA
90806-2922

Practice Phone: 562-896-8695
Practice Fax:

Directions to “ DR. GARY ALAN HAGEN OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.