Individual
DOMINICK VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
127 S SAN VICENTE BLVD # A-3600, LOS ANGELES, CA 90048-3311
(310) 423-3850
(310) 423-0246
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-3850
(310) 423-0246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA58832
CA
363AS0400X
Surgical Physician Assistant
TLP-018
ID
Other
Enumeration date
11/08/2013
Last updated
03/10/2021
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