Medina, Dominique J
Medina, Dominique J is an individual health care provider with primary practice located at 1000 W Carson St , Torrance CA 90502-2004. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Medina, Dominique J can be contacted via phone (424) 306-4040.Contact Information
Primary practice address
1000 W Carson St
Torrance CA 90502-2004
Phone: (424) 306-4040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 107247 | California |
Profile Details
| NPI number | 1598152803 |
|---|---|
| LBN Legal business name | Medina, Dominique J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2015 |
| Last updated | Jul 26th, 2022 - 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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