Provider Demographics
NPI:1619140712
Name:CIGLIANO, AUGUSTO GIOVANNI (MD)
Entity Type:Individual
Prefix:DR
First Name:AUGUSTO
Middle Name:GIOVANNI
Last Name:CIGLIANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11140 BELLAIRE ST
Mailing Address - Street 2:APT 3
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3045
Mailing Address - Country:US
Mailing Address - Phone:562-225-0150
Mailing Address - Fax:
Practice Address - Street 1:11140 BELLAIRE ST
Practice Address - Street 2:APT 3
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3045
Practice Address - Country:US
Practice Address - Phone:562-225-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109024207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine