Miguel Dominguez MD, a Professional Corporation
Miguel Dominguez MD, a Professional Corporation is a Non-Pharmacy Dispensing Site in Tustin, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
18102 Irvine Blvd Ste 208Tustin, CA 92780-3402
Phone: (714) 371-9000
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Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X |
|---|
Record details
| NPI number | 1639444292 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Miguel Dominguez MD, a Professional Corporation |
| Authorized official | Miguel Dominguez — Ceo · (714) 371-9000 |
| NPI enumerated | March 15, 2012 |
| Last updated in NPPES | March 15, 2012 |
| Mailing address | 2980 N Beverly Glen Cir, Suite 301, Los Angeles, CA 90077-1726 |
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