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

Theodore Hagens, MD

Individual provider Diagnostic Radiology Physician · NPI 1396486320

Theodore Hagens, MD is a Diagnostic Radiology Physician in West Hollywood, California. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8700 Beverly Blvd # M335
West Hollywood, CA 90048-1804
Phone: (310) 423-3095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4351049044 (MI)

Record details

NPI number1396486320
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023
Mailing address200 Jefferson Ave Se, Grand Rapids, MI 49503-4502

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