Individual
GINO HIDALGO TAGOYLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 BAHAMAS DR, BAKERSFIELD, CA 93309-0663
(661) 326-9600
(661) 334-3065
Mailing address
2301 BAHAMAS DR, BAKERSFIELD, CA 93309-0663
(661) 326-9600
(661) 334-3065
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A125922
CA
2085R0202X
Diagnostic Radiology Physician
MD60281757
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790982254
—
WA
Enumeration date
06/28/2007
Last updated
07/02/2014
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