| Dennis O. Dominguez, Md, A Medical Corporation | |
|
505 N. Mollison Ave Suite 201 El Cajon CA 92021 | |
| (619) 441-3550 | |
| (619) 579-2921 |
| Full Name | Dennis O. Dominguez, Md, A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 505 N. Mollison Ave, El Cajon, California |
| Authorized Official Name and Position | Juana Vazquez (OFFICE MANAGER) |
| Authorized Official Contact | 6194413550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis O. Dominguez, Md, A Medical Corporation 505 N. Mollison Ave Suite 201 El Cajon CA 92021 Ph: (619) 441-3550 | Dennis O. Dominguez, Md, A Medical Corporation 505 N. Mollison Ave Suite 201 El Cajon CA 92021 Ph: (619) 441-3550 |
| NPI Number | 1871796086 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 05/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871796086 | NPI | - | NPPES |
| 00G43179 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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