Provider Demographics
NPI:1508834979
Name:HAGAR & RICHTER
Entity Type:Organization
Organization Name:HAGAR & RICHTER
Other - Org Name:HAND MECHANIX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:661-799-8623
Mailing Address - Street 1:23929 MCBEAN PARKWAY
Mailing Address - Street 2:STE F208
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355
Mailing Address - Country:US
Mailing Address - Phone:661-799-8623
Mailing Address - Fax:661-799-9871
Practice Address - Street 1:23929 MCBEAN PARKWAY
Practice Address - Street 2:STE F208
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355
Practice Address - Country:US
Practice Address - Phone:661-799-8623
Practice Address - Fax:661-799-9871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT1810225X00000X
CAOT1786225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
X98416Medicare UPIN
CAW16679Medicare ID - Type Unspecified