ROSE DOMINGUEZ CADAC NPI 1356563639

NPI Information

NPI: 1356563639
Provider Name: ROSE DOMINGUEZ, CADAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5220 W WASHINGTON BLVD
SUITE 101
LOS ANGELES, CA
ZIP 90016
Phone: (323) 933-9186
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Rose Dominguez, CADAC is an addiction (substance use disorder) counselor in Los Angeles, CA. Rose Dominguez, CADAC NPI is 1356563639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5220 W WASHINGTON BLVD
SUITE 101
LOS ANGELES, CA
ZIP 90016-331
Phone: (323) 933-9186
Fax: (323) 933-7146

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/7/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	I2001206	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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