Chavez, Liza Dominguez
Chavez, Liza Dominguez is an individual health care provider with primary practice located at 3650 E. South St Suite 308, Lakewood CA 90712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Chavez, Liza Dominguez can be contacted via phone (562) 633-2204.Contact Information
Primary practice address
3650 E. South St Suite 308
Lakewood CA 90712
Phone: (562) 633-2204
Fax: (562) 633-2579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | G76279 | California |
Profile Details
| NPI number | 1316038045 |
|---|---|
| LBN Legal business name | Chavez, Liza Dominguez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 29th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316038045 | NPPES |
| California | MEDICAID | 00G762790 |
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