Dominguez, Lizbeth
Dominguez, Lizbeth is an individual health care provider with primary practice located at 21021 Ventura Blvd , Woodland Hills CA 91364-2206. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dominguez, Lizbeth can be contacted via phone (322) 649-8919.Contact Information
Primary practice address
21021 Ventura Blvd
Woodland Hills CA 91364-2206
Phone: (322) 649-8919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 23535 | California |
Profile Details
| NPI number | 1215400619 |
|---|---|
| LBN Legal business name | Dominguez, Lizbeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2019 |
| Last updated | Sep 14th, 2026 - about 2 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215400619 | NPPES |
| California | MEDICAID | 7420 | |
| California | MEDICAID | 6758 | |
| California | MEDICAID | 7O68 |
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