Dominguez, Kathleen

Dominguez, Kathleen is an individual health care provider with primary practice located at 180 Via Verde Ste 200 , San Dimas CA 91773-3993. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Dominguez, Kathleen can be contacted via phone (909) 599-1227.

Contact Information

Primary practice address
180 Via Verde Ste 200 San Dimas CA 91773-3993
Phone: (909) 599-1227
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1831697879
LBN Legal business name Dominguez, Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2018
Last updated Oct 27th, 2023 - about 2 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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