Individual
DANIEL DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
3144 SANTA ANITA AVE, SUITE# 302, EL MONTE, CA 91733-1316
(626) 401-4147
(626) 582-7977
Mailing address
3144 SANTA ANITA AVE, SUITE# 302, EL MONTE, CA 91733-1316
(626) 401-4147
(626) 582-7977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A53797
CA
Other
Enumeration date
05/01/2006
Last updated
02/13/2013
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