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Organization
MACARIO L. DOMAGUING JR M.D. INC
Active
Organization
MACARIO L. DOMAGUING JR M.D. INC
Active
Other names
M.L.DOMAGUING,JR.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACARIO L DOMAGUING JR. JR. MD (MD OWNER)
(626) 335-4129
Entity
Organization
Contact information
Practice address
648 RANCHO LOS NOGALES DR, COVINA, CA 91724-3351
(626) 862-3584
(626) 331-1839
Mailing address
648 RANCHO LOS NOGALES DR, COVINA, CA 91724-3351
(626) 862-3584
(626) 331-1839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A37893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W22352
—
CA
Enumeration date
08/21/2006
Last updated
02/27/2015
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