Dominguez, Emil R
Dominguez, Emil R is an sole proprietor health care provider with primary practice located at 409 E Merced Ave Suite #A, West Covina CA 91790-5061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dominguez, Emil R can be contacted via phone (626) 931-0901.Contact Information
Primary practice address
409 E Merced Ave Suite #A
West Covina CA 91790-5061
Phone: (626) 931-0901
Fax: (626) 931-0905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A43966 | California |
Profile Details
| NPI number | 1992867766 |
|---|---|
| LBN Legal business name | Dominguez, Emil R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1992867766 | NPPES |
| California | MEDICAID | 00A439660 |
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