| Andrea Alejandra Dominguez, RD | |
|
26600 Cactus Ave, Moreno Valley, CA 92555-3901 | |
| (626) 383-0644 | |
| Not Available |
| Full Name | Andrea Alejandra Dominguez |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 26600 Cactus Ave, Moreno Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659942522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | County Of Riverside |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Alejandra Dominguez, RD 14317 Chesebro Ct, Fontana, CA 92335-3048 Ph: (626) 383-0644 | Andrea Alejandra Dominguez, RD 26600 Cactus Ave, Moreno Valley, CA 92555-3901 Ph: (626) 383-0644 |
Maitano, A Limited Liability Corporation Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12125 Day St Ste H308, Moreno Valley, CA 92557 Phone: 951-801-4000 | |
Aprilla Marcella Oliver, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27300 Iris Ave, Moreno Valley, CA 92555 Phone: 951-251-6614 | |
Lindsay Estrada, PH.D., RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9740 Shadow Mountain Dr, Moreno Valley, CA 92557 Phone: 951-312-3813 | |
Natalie Black, RD/RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26600 Cactus Ave Fl 1, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Maricruz Carrillo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Nancy Chivichon-navarro, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 28648 Avenue Ave., Moreno Valley, CA 92555 Phone: 909-319-4552 | |
Cheri Lynn Blucher, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 11119 Los Olivos Dr, Moreno Valley, CA 92557 Phone: 951-485-0490 Fax: 951-485-2142 |