Individual
DR. DOMINIC M ERBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 COTTONWOOD ST, SUITE 203, WOODLAND, CA 95695-5131
(530) 666-1631
Mailing address
1321 COTTONWOOD ST, SUITE 203, WOODLAND, CA 95695-5131
(530) 666-1631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G37497
CA
2086S0129X
Vascular Surgery Physician
G37497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G374970
BLUE SHIELD
CA
05
—
00G374970
—
CA
01
—
020017979
RR MEDICARE
CA
Enumeration date
07/15/2006
Last updated
03/03/2011
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