Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Liv S. Hagstrom, PA-C

Individual provider Surgical Physician Assistant · NPI 1811986672

MS. Liv S. Hagstrom, PA-C is a Surgical Physician Assistant in Santa Monica, California. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone: (310) 829-8618
Fax: (310) 829-8607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6110 — (617) 733-9667

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10004777 (WA)

Record details

NPI number1811986672
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

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