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

Gloria Dominguez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114898392

Gloria Dominguez is a Student in an Organized Health Care Education/Training Program in Riverside, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

4164 Brockton Ave
Riverside, CA 92501-3400
Phone: (951) 683-5193
Fax: (951) 683-6019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1114898392
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address4164 Brockton Ave, Riverside, CA 92501-3400

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