Provider Demographics
NPI:1962520429
Name:HOAGLAND, ROBERT JENE (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JENE
Last Name:HOAGLAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 FIRST ST.
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-3634
Mailing Address - Country:US
Mailing Address - Phone:650-387-4049
Mailing Address - Fax:
Practice Address - Street 1:381 1ST ST
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-3605
Practice Address - Country:US
Practice Address - Phone:650-941-1723
Practice Address - Fax:650-917-1896
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22368111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor