Dominguez, Ada Fajardo
Dominguez, Ada Fajardo is an individual health care provider with primary practice located at 1200 N State St , Los Angeles CA 90033. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Dominguez, Ada Fajardo can be contacted via phone (323) 226-3765.Contact Information
Primary practice address
1200 N State St
Los Angeles CA 90033
Phone: (323) 226-3765
Fax: (323) 226-2688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 12757 | California |
Profile Details
| NPI number | 1649482589 |
|---|---|
| LBN Legal business name | Dominguez, Ada Fajardo |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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