Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kimberly Hagen Hagen, PHD

Individual provider Clinical Psychologist · NPI 1245369990

Dr. Kimberly Hagen Hagen, PHD is a Psychiatry in Los Angeles, California. Qualified in 1998, 28 years ago. Licensed in California.

Years since qualifying
28
Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

12021 Wilmington Ave Trlr 6
Los Angeles, CA 90059-3019
Phone: (310) 668-6428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 16798 (CA)

Record details

NPI number1245369990
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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