Reisa Isel Dominguez, is a
Case Manager/care Coordinator based in Corona, California. Reisa Isel Dominguez is licensed to practice in * (Not Available) (license number ) and her current practice location is
2275 S Main St Ste 201, Corona, California. She can be reached at her office (for appointments etc.) via phone at
(951) 279-3222.
NPI number for Reisa Isel Dominguez is 1063109924 and her current mailing address is 2275 S Main St Ste 201, Corona, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063109924.
Healthcare Provider's Profile
| Full Name | Reisa Isel Dominguez |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 2275 S Main St Ste 201, Corona, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063109924
- Provider Enumeration Date: 04/20/2023
- Last Update Date: 09/27/2023
Medical Identifiers
Medical identifiers for Reisa Isel Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063109924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Reisa Isel Dominguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Reisa Isel Dominguez,
2275 S Main St Ste 201,
Corona, CA 92882-5303
Ph: () - | Reisa Isel Dominguez,
2275 S Main St Ste 201,
Corona, CA 92882-5303
Ph: (951) 279-3222 |
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