Individual
DOMINICK A D'ANTUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 606, LOS ANGELES, CA 90017
(213) 483-1055
(213) 483-1418
Mailing address
1245 WILSHIRE BLVD, SUITE 606, LOS ANGELES, CA 90017
(213) 483-1055
(213) 483-1418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12726
CA
Other
Enumeration date
08/15/2005
Last updated
07/22/2011
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