Individual
LEO ERNIE MANANGAN DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
200 FREEDOM LANE, ALISO VIEJO, CA 92656
(877) 476-2223
Mailing address
929 E 3RD ST, SANTA ANA, CA 92701-4906
(619) 888-3089
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
827301
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018365
CA
Other
Enumeration date
08/30/2021
Last updated
03/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us