Organization
MIGUEL DOMINGUEZ MD, A PROFESSIONAL CORPORATION
Active
Parent organization
MIGUEL DOMINGUEZ MD, A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIGUEL DOMINGUEZ MD, A PROFESSIONAL CORPORATION
Authorized official
DR. MIGUEL DOMINGUEZ M.D. (CEO)
(714) 371-9000
Entity
Organization
Contact information
Practice address
18102 IRVINE BLVD, STE 208, TUSTIN, CA 92780-3402
(714) 371-9000
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up