Organization
SHIRLEY DOMINGO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY ROSE RAMISCAL DOMINGO MD (CHIEF EXECUTIVE OFFICER)
(310) 613-0275
Entity
Organization
Contact information
Practice address
3939 J ST STE 305, SACRAMENTO, CA 95819-3639
(310) 613-0275
(916) 672-0290
Mailing address
6205 GUS WAY, ELK GROVE, CA 95757-5987
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
02/11/2019
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