Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique Hysmith

Individual provider Physical Therapy Assistant · NPI 1023714912

Dominique Hysmith is a Physical Therapy Assistant in Laguna Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

24452 Health Center Dr
Laguna Hills, CA 92653-3604
Phone: (949) 837-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9735 (CA)

Record details

NPI number1023714912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

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