Dominguez, Emil R

Dominguez, Emil R is an sole proprietor health care provider with primary practice located at 409 E Merced Ave Suite #A, West Covina CA 91790-5061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dominguez, Emil R can be contacted via phone (626) 931-0901.

Contact Information

Primary practice address
409 E Merced Ave Suite #A West Covina CA 91790-5061
Phone: (626) 931-0901
Fax: (626) 931-0905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A43966 California

Profile Details

NPI number 1992867766
LBN Legal business name Dominguez, Emil R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992867766 NPPES
California MEDICAID 00A439660

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