Individual
ERIC DORADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1040 E MARBURY ST, WEST COVINA, CA 91790-2303
(626) 991-2405
Mailing address
1040 E MARBURY ST, WEST COVINA, CA 91790-2303
(626) 991-2405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000034555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000034555
—
CA
Enumeration date
03/13/2019
Last updated
03/13/2019
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