Individual
REBECA VANESSA DOMINGUEZ PROFETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4303 LA JOLLA VILLAGE DR STE 2110, SAN DIEGO, CA 92122-1396
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A203601
CA
Other
Enumeration date
04/10/2020
Last updated
09/22/2025
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