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Organization
PEDRO DOMINGO-FORASTE M.D. INC.,
Active
Organization
PEDRO DOMINGO-FORASTE M.D. INC.,
Active
Other names
INTER-AMERICAN MEDICAL GROUP.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNE DOMINGO-FORASTE M.D. (PRESIDENT)
(323) 268-8511
Entity
Organization
Contact information
Practice address
2256 WHITTIER BLVD, LOS ANGELES, CA 90023-1243
(323) 268-8511
(323) 268-0717
Mailing address
2256 WHITTIER BLVD, LOS ANGELES, CA 90023-1243
(323) 268-8511
(323) 268-0717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G53343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ70430Z
—
CA
Enumeration date
02/26/2007
Last updated
04/20/2012
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