MIGUEL DOMINGUEZ MD A PROFESSIONAL CORPORATION NPI 1639444292

NPI Information

MIGUEL DOMINGUEZ MD, A PROFESSIONAL CORPORATION is a non pharmacy dispensing site in Tustin, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MIGUEL DOMINGUEZ MD, A PROFESSIONAL CORPORATION NPI is 1639444292. The provider is registered as an organization entity type.

The provider's business location address is:

18102 IRVINE BLVD
STE 208
TUSTIN, CA
ZIP 92780-402
Phone: (714) 371-9000

The provider's authorized official is Miguel Dominguez .
The authorized official title is Ceo and has the following contact phone number (714) 371-9000.

The enumeration date for this NPI number is 3/15/2012 and was last updated on 3/15/2012.

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:

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