Dennis O. Dominguez, Md, A Medical Corporation

LBN: Dennis O. Dominguez, Md, A Medical Corporation
Dennis O. Dominguez, Md, A Medical Corporation is an health care organization with primary practice located at 505 N. Mollison Ave Suite 201, El Cajon CA 92021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dennis O. Dominguez, Md, A Medical Corporation can be contacted via phone (619) 441-3550, or through Vazquez, Juana via phone (619) 441-3550.

Contact Information

Primary practice address
505 N. Mollison Ave Suite 201 El Cajon CA 92021
Phone: (619) 441-3550
Fax: (619) 579-2921
Website:
Map and Directions
Authorized official contact:
Name: Vazquez, Juana
Phone: (619) 441-3550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1871796086
LBN Legal business name Dennis O. Dominguez, Md, A Medical Corporation
DBA Doing business as Dennis O. Dominguez, Md, A Medical Corporation
Authorized official Vazquez, Juana
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated May 29th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871796086 NPPES
California MEDICAID 00G43179

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