Provider Type Icon

MACARIO L. DOMAGUING JR M.D. INC NPI 1336255694


NPI Information

NPI: 1336255694
Provider Name: MACARIO L. DOMAGUING JR M.D. INC

Other Name: M.L.DOMAGUING,JR.M.D.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
648 RANCHO LOS NOGALES DR
COVINA, CA
ZIP 91724
Phone: (626) 862-3584
Get Directions

MACARIO L. DOMAGUING JR M.D. INC is a family medicine in Covina, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MACARIO L. DOMAGUING JR M.D. INC NPI is 1336255694. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is M.l.domaguing,jr.m.d..

The provider's business location address is:

648 RANCHO LOS NOGALES DR
COVINA, CA
ZIP 91724-351
Phone: (626) 862-3584
Fax: (626) 331-1839

The provider's authorized official is Macario L DOMAGUING JR.Jr. .
The authorized official title is Md Owner and has the following contact phone number (626) 335-4129.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 2/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA37893CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W22352MEDICARE PINCALIFORNIA
2W22352MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.