Michelle Mae Domingo is a medical physician assistant in South Gate, CA. Michelle Mae Domingo NPI is 1457660391. 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:
4075 TWEEDY BLVD
SOUTH GATE, CA
ZIP 90280-146
Phone: (323) 566-4111
The NPI 1457660391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/27/2010 and was last updated on 6/23/2015.