Doctor Name: | ROBERT DANIEL HIDALGO |
NPI Number: | 1770576357 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G72815 |
Business Practice Address: | 18207 E Mcdurmott Irvine, CA - 926144770 |
Business Phone Number: | 9495530010 |
Business Fax Number: | 9495530098 |
Mailing Address: | Po Box 2844, COSTA MESA |
State: | CA |
Postal Code: | 926282844 |
Phone Number: | 7149656611 |
Fax Number: | 7149656690 |
NPI Enumeration Date: | 08/29/2005 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G72815 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |