Santo Domingo, Diana

Santo Domingo, Diana is an individual health care provider with primary practice located at 3883 Airway Dr Ste 203 , Santa Rosa CA 95403-1671. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Santo Domingo, Diana can be contacted via phone (707) 521-4495.

Contact Information

Primary practice address
3883 Airway Dr Ste 203 Santa Rosa CA 95403-1671
Phone: (707) 521-4495
Fax: (707) 573-5421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 997612 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X C168169 California

Profile Details

NPI number 1437350709
LBN Legal business name Santo Domingo, Diana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Sep 22nd, 2023 - about last year

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 1437350709 NPPES
California Other C168169 STATE MEDICAL LICENSE

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