Individual
DR. MONIQUE ANTOINETTE WHITE-DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A11372
CA
208M00000X
Hospitalist Physician
Primary
20A11372
CA
Other
Enumeration date
09/16/2010
Last updated
11/19/2020
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