Mowbray P Hagan, MD, Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MOWBRAY P HAGAN, MD, INC

Practice address

482 Corona Mall
Corona, CA 92879-1418

Phone

(951) 734-6110

NPI assigned

Jun 23, 2010

Organization subpart

Yes

Parent organization

MOWBRAY P HAGAN, MD, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mowbray Hagan, MDNPI 1235145590

Title

Owner

Phone

(951) 734-6110

Specialties & licenses 1

Addresses

Tax ID family

Mowbray P Hagan MD Inc2 organizations share this tax ID, including this one

Part of

Mowbray P Hagan MD Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mowbray P. Hagan, M.D. Inc.

  • Primary Care Clinic/Center
  • Corona, CA
  • NPI 1356353361
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mowbray Philip Hagan, MD

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1235145590
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1073824199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 CORONA MALL",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791418",
            "telephone_number": "951-734-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOWBRAY P HAGAN, MD, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOWBRAY P HAGAN, MD, INC",
        "enumeration_date": "2010-06-23",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "MOWBRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-734-6110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mosquera
• Marlena Moss
• Janine Mottola
• Aafiya Mohammed Javeed Moulvi, PHARMD
• Manal Moussaoui
• Mowbray P. Hagan, M.D. Inc.
• Mpol Laboratory LLC
• MPZ Dermatology
• Mr Patel DDS, Inc.
• MST Consulting, LLC.

• Non-Pharmacy Dispensing Site in Corona, CA
• Providers in Corona, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.