Individual
DR. DOMINICK JOSEPH MEGNA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3851
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A134706
CA
390200000X
Student in an Organized Health Care Education/Training Program
62981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62981
ALBANY MEDICAL CENTER RESIDENT
NY
Enumeration date
05/06/2010
Last updated
09/12/2018
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