Antonio, Lani Domingo

Antonio, Lani Domingo is an individual health care provider with primary practice located at 200 E Hackett Rd , Modesto CA 95358-9415. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Antonio, Lani Domingo can be contacted via phone (831) 801-7110.

Contact Information

Primary practice address
200 E Hackett Rd Modesto CA 95358-9415
Phone: (831) 801-7110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22113 California

Profile Details

NPI number 1467726380
LBN Legal business name Antonio, Lani Domingo
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2012
Last updated Nov 25th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers