Dominguez, Tina L. R.

Dominguez, Tina L. R. is an individual health care provider with primary practice located at 2305 Camino Ramon Ste 225 , San Ramon CA 94583-1394. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dominguez, Tina L. R. can be contacted via phone (253) 471-4509.

Contact Information

Primary practice address
2305 Camino Ramon Ste 225 San Ramon CA 94583-1394
Fax: (925) 347-1454
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X PA21463 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA21463 California

Profile Details

NPI number 1922305671
LBN Legal business name Dominguez, Tina L. R.
Credentials PA-C, MMS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2011
Last updated Mar 6th, 2020 - about 4 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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