Provider Demographics
NPI:1942705637
Name:BAGINGITO, AUSTIN GEOFFREY (MD)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:GEOFFREY
Last Name:BAGINGITO
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 1:550 WASHINGTON ST STE 725
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2232
Mailing Address - Country:US
Mailing Address - Phone:619-713-7974
Mailing Address - Fax:619-686-3827
Practice Address - Street 1:550 WASHINGTON ST STE 725
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2232
Practice Address - Country:US
Practice Address - Phone:619-713-7974
Practice Address - Fax:619-686-3827
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA163977207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine