Provider Demographics
NPI:1184083123
Name:HIDALGO, EDGAR (CERT INTERPRETER)
Entity type:Individual
Prefix:
First Name:EDGAR
Middle Name:
Last Name:HIDALGO
Suffix:
Gender:M
Credentials:CERT INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 WHISPERING WIND LN
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-8665
Mailing Address - Country:US
Mailing Address - Phone:626-806-1056
Mailing Address - Fax:
Practice Address - Street 1:1340 WHISPERING WIND LN
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-8665
Practice Address - Country:US
Practice Address - Phone:626-806-1056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500332171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter