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

Individual provider Nurse Practitioner · NPI 1710654124

Marisol Dominguez-Claros is a Nurse Practitioner in Los Angeles, California. Qualified in 2012, 14 years ago. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1100 N State St
Los Angeles, CA 90033-5000
Phone: (323) 409-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95018052 (CA)

Record details

NPI number1710654124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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