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NPI Code Detail

MEDICARE: DR. LANDIN PAUL HAGGE DO

MEDICARE: DR. LANDIN PAUL HAGGE DO
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
1207Q00000XFamily Medicine Physician20A2028CA

General Provider Information

NPI Number : 1790312098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LANDIN PAUL HAGGE DO
Provider Business Mailing Address
First Line : 708 W CARLOS ST
Second Line :
City : ALTURAS
State : CA
Zip : 96101-3828
Country : US
Telephone Number : 801-921-0612
Fax Number :
Provider Business Practice Location Address
First Line : 1111 N NAGLE ST
Second Line :
City : ALTURAS
State : CA
Zip : 96101-3840
Country : US
Telephone Number : 530-708-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 10/17/2023

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Directions to “ DR. LANDIN PAUL HAGGE DO” Practice Location

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