Individual
CHRISTOPHER JAMES DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5725 SOTO ST, HUNTINGTON PARK, CA 90255-2630
(805) 222-5803
Mailing address
14621 TERRYKNOLL DR, WHITTIER, CA 90604-1307
(323) 706-3819
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
65873
CA
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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