Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gerard Bagalso, IDC

Individual provider Independent Duty Corpsman · NPI 1366908337

Mr. Gerard Bagalso, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

11126 Almazon St
San Diego, CA 92129-1002
Phone: (858) 859-5181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1366908337
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedFebruary 14, 2019
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address11126 Almazon St, San Diego, CA 92129-1002

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