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DOMINGA BASURTO HEARONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9508 STOCKDALE HWY STE 150, BAKERSFIELD, CA 93311-3623
(661) 663-7500
(661) 663-7503
Mailing address
24422 AVENIDA DE LA CARLOTA STE 300, LAGUNA HILLS, CA 92653-3628
(949) 599-2434
(949) 599-2430

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95017706
CA
363LF0000X
Family Nurse Practitioner
95017706
CA

Other

Enumeration date
07/13/2021
Last updated
08/28/2023
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