Organization
DOMINIQUE GIA-GIA DOAN A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE DOAN (OWNER)
(626) 502-7890
Entity
Organization
Contact information
Practice address
323 W VALLEY BLVD, SAN GABRIEL, CA 91776-3726
(626) 300-0005
Mailing address
323 W VALLEY BLVD, SAN GABRIEL, CA 91776-3726
(626) 300-0005
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A38598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043231632
—
CA
Enumeration date
01/24/2017
Last updated
02/18/2025
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