Dominguez, Kathleen H

Dominguez, Kathleen H is an individual health care provider with primary practice located at 477 N El Camino Real Ste B105 , Encinitas CA 92024-1330. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dominguez, Kathleen H can be contacted via phone (760) 753-7143.

Contact Information

Primary practice address
477 N El Camino Real Ste B105 Encinitas CA 92024-1330
Phone: (760) 753-7143
Fax: (760) 753-7114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PA 17714 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17714 California

Profile Details

NPI number 1689784530
LBN Legal business name Dominguez, Kathleen H
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 28th, 2019 - about 5 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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