| Doctor Name: | MR. HUGH W. BACA |
| NPI Number: | 1164593653 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RDCS |
| License Number: | 40089 |
| Business Practice Address: | 2394 Telegraph Hl El Dorado Hills, CA - 957624054 |
| Business Phone Number: | 9169392287 |
| Business Fax Number: | 9169392287 |
| Mailing Address: | 2394 Telegraph Hl, EL DORADO HILLS |
| State: | CA |
| Postal Code: | 957624054 |
| Phone Number: | 9169392287 |
| Fax Number: | 9169392287 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 11/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XS1301X |
| License Number: | 40089 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |