THEODORE HAGENS MD
NPI 1396486320
Radiology - Diagnostic Radiology in West Hollywood, CA

Active since April 05, 2022
8700 BEVERLY BLVD # M335, WEST HOLLYWOOD, CA 90048(310) 423-3095 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Apr 5, 2022 (2 updates tracked since 2022).

About Theodore Hagens Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE HAGENS MD (NPI 1396486320) is an individual diagnostic radiology provider in West Hollywood, California, licensed in Michigan (4351049044) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1396486320
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTHEODORE HAGENSCredential: MD
Location Address8700 BEVERLY BLVD # M335West Hollywood, CA 90048-1804
Mailing Address200 Jefferson Ave SeGrand Rapids, MI 49503-4502 · (616) 685-6867
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
NPI 1396486320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MI · 4351049044
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
8700 BEVERLY BLVD # M335, West Hollywood, CA 90048

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
8700 BEVERLY BLVD # M335
WEST HOLLYWOOD, CA 90048
Radiology (Diagnostic Radiology)
8700 BEVERLY BLVD # M335
WEST HOLLYWOOD, CA 90048
Radiology (Diagnostic Radiology)
8700 BEVERLY BLVD # M335
WEST HOLLYWOOD, CA 90048
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD # M335
WEST HOLLYWOOD, CA 90048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Hagens's NPI number?

The NPI number for Theodore Hagens is 1396486320. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Theodore Hagens located?

Theodore Hagens practices at 8700 Beverly Blvd # M335, West Hollywood, CA 90048. The listed phone number is (310) 423-3095.

What is Theodore Hagens's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Theodore Hagens was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.