# FELICIDAD G LAO-DOMINGO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558674259
- **Authorized official:** DR. FELICIDAD G LAO-DOMINGO M.D. (PRESIDENT)
- **Authorized official phone:** (408) 847-1166

## Contact information

- **Practice address:** 700 W 6TH ST, SUITE I, GILROY, CA 95020-6014
- **Practice address phone:** (408) 847-1166
- **Practice address fax:** (408) 847-3045
- **Mailing address:** 700 W 6TH ST, SUITE I, GILROY, CA 95020-6014
- **Mailing address phone:** (408) 847-1166
- **Mailing address fax:** (408) 847-3045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 00A338170 | CA | Yes |

## Other

- **Enumeration date:** 07/22/2010
- **Last updated:** 09/23/2010