MIGUEL DOMINGUEZ MD, A PROFESSIONAL CORPORATION is a non pharmacy dispensing site in El Monte, 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 1144595067. The provider is registered as an organization entity type.
The provider's business location address is:
10610 LOWER AZUSA RD
EL MONTE, CA
ZIP 91731-210
Phone: (626) 279-1855
The provider's authorized official is Miguel Dominguez .
The authorized official title is Ceo and has the following contact phone number (626) 279-1855.
The CLIA number assigned to this NPI record is 05D2008959 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/9/2012 and was last updated on 3/9/2012.