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NPI Code Detail

MEDICARE: MICHELLE QUIOGUE MD

MEDICARE: MICHELLE QUIOGUE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA77431CA

General Provider Information

NPI Number : 1982717229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE QUIOGUE MD
Provider Business Mailing Address
First Line : PO BOX 12099
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93389-2099
Country : US
Telephone Number : 661-328-9831
Fax Number : 661-334-2079
Provider Business Practice Location Address
First Line : 3700 MALL VIEW RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-3050
Country : US
Telephone Number : 661-328-9831
Fax Number : 661-334-2972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 12/02/2021

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