Individual
MR. JUSTIN E DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10710 N TORREY PINES RD, LA JOLLA, CA 92037-1035
(858) 554-8896
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8896
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A75156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A751560
—
CA
Enumeration date
07/13/2006
Last updated
05/04/2026
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