Individual
FERNANDO ALFONSO DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 662-4100
Mailing address
1601 PRECISION PARK LN, SAN YSIDRO, CA 92173-1345
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A154708
CA
Other
Enumeration date
06/20/2014
Last updated
04/22/2025
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