Charles Patrick Hazen, DO
Charles Patrick Hazen, DO is a Physical Medicine and Rehabilitation in Harbor City, California. Graduated from Western University of Health Sciences College of Dental Med in 2009, 17 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Pennsylvania.
- Years since qualifying
- 17
- Trained at
- Western University of Health Sciences College of Dental Med
- Licensed in
- CA, PA
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
1403 Lomita Blvd 2nd FlHarbor City, CA 90710-2076
Phone: (310) 534-6223
Fax: (310) 326-7205
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence OT013853 (PA) |
|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence 20A12785 (CA) |
Record details
| NPI number | 1710290713 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | July 19, 2010 |
| Last updated in NPPES | December 2, 2021 |
| Certification date | December 2, 2021 |
| Mailing address | 1403 Lomita Blvd, 2nd Floor, Harbor City, CA 90710-2076 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Also practises | SPORTS MEDICINE |
| Medical school | WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED |
| Graduated | 2009 (17 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |