Organization
THE PEDIATRIC & ADOLESCENTS CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINA D DOMALANTA-VILLALUNA MD (PRESIDENT)
(671) 647-7337
Entity
Organization
Contact information
Practice address
415 CHALAN SAN ANTONIO STE 109, TAMUNING, GU 96913-3620
(671) 647-7337
(671) 647-7336
Mailing address
415 CHALAN SAN ANTONIO STE 109, TAMUNING, GU 96913-3620
(671) 647-7337
(671) 647-7336
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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