Provider Demographics
NPI:1447087291
Name:BAGANG, ALDRIN ERWIN SALVADOR (RN)
Entity type:Individual
Prefix:
First Name:ALDRIN ERWIN
Middle Name:SALVADOR
Last Name:BAGANG
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7578 TELFER WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-3830
Mailing Address - Country:US
Mailing Address - Phone:229-314-5770
Mailing Address - Fax:
Practice Address - Street 1:7578 TELFER WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-3830
Practice Address - Country:US
Practice Address - Phone:229-314-5770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95299875163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse