SearchCalifornia208100000X

Charles Hazen, D.O

NPI 1710290713 · on the registry since 2010 · sole proprietor

Practice

Address
1403 Lomita Blvd
2nd Floor
Harbor City, CA 90710
Phone
(310) 534-6223
Fax
(310) 326-7205
Organisation at this address
Magnabloom Llc
Bay Harbor Mri Inc
Neo Medical Centre
Haga Hospice, Inc.
County Of Los Angeles
Inferred from a shared address, not stated in the registry.
Clinicians at this address
107

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
2081S0010X
Licence states on file
CA, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California