Individual
DESIREE DOMINGO-FORASTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
970 PETIT AVE STE D, VENTURA, CA 93004-2215
(805) 659-1166
(805) 659-5765
Mailing address
970 PETIT AVE STE D, VENTURA, CA 93004-2215
(805) 659-1166
(805) 659-5765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G55127
CA
Other
Enumeration date
12/16/2006
Last updated
10/03/2013
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