Organization
MIGUEL DOMINGUEZ MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN HUBAY (OFFICE MANAGER)
(714) 371-9000
Entity
Organization
Contact information
Practice address
18102 IRVINE BLVD, SUITE 208, TUSTIN, CA 92780-3402
(714) 371-9000
(714) 730-2720
Mailing address
18102 IRVINE BLVD, SUITE 208, TUSTIN, CA 92780-3402
(714) 371-9000
(714) 730-2720
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G64086
CA
Other
Enumeration date
06/29/2007
Last updated
01/26/2010
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