Dominguez, Gustavo

Dominguez, Gustavo is an individual health care provider with primary practice located at 5425 Pomona Blvd , Commerce CA 90022-1716. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Dominguez, Gustavo can be contacted via phone (323) 832-7527.

Contact Information

Primary practice address
5425 Pomona Blvd Commerce CA 90022-1716
Phone: (323) 832-7527
Fax: (323) 832-7599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1578952636
LBN Legal business name Dominguez, Gustavo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2015
Last updated Jan 13th, 2015 - about 11 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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