Dominguez, Shantal Arelis

Dominguez, Shantal Arelis is an individual health care provider with primary practice located at 1359 N Grand Ave , Covina CA 91724-1016. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Dominguez, Shantal Arelis can be contacted via phone (626) 430-2900.

Contact Information

Primary practice address
1359 N Grand Ave Covina CA 91724-1016
Phone: (626) 430-2900
Fax: (626) 331-0035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1629247861
LBN Legal business name Dominguez, Shantal Arelis
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2008
Last updated Jul 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629247861 NPPES
California Other ICAN796 LA COUNTY DMH

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