Individual
ERIC ARVIN BAGGAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 OLD TUSTIN RD., SANTA ANA, CA 92705
(714) 835-4900
Mailing address
27001 AYAMONTE, MISSION VIEJO, CA 92692
(949) 702-6630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 8712
CA
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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