Individual
DOMINGO H TIAMZON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7869 VENTURA CANYON AVE UNIT 202, PANORAMA CITY, CA 91402-6361
(818) 731-1009
Mailing address
7869 VENTURA CANYON AVE UNIT 202, PANORAMA CITY, CA 91402-6361
(818) 731-1009
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT01008933
CA
Other
Enumeration date
04/16/2025
Last updated
04/28/2025
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