Individual
JOANN CALLORINA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 HAWTHORNE AVE, ROOM 2346, OAKLAND, CA 94609-3108
(510) 869-6883
(510) 869-6888
Mailing address
3687 MT DIABLO BLVD, SUITE 200, LAFAYETTE, CA 94549-3717
(916) 854-6975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16698
NV
207R00000X
Internal Medicine Physician
A117117
CA
208M00000X
Hospitalist Physician
Primary
A117117
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A117117
STATE LICENSE
CA
Enumeration date
08/22/2006
Last updated
07/21/2022
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