Individual provider · Type 1 NPI

Brenda Dominguez

Licensed Vocational Nurse · Azusa, CA

NPI number 1215854112 Active

Practice location

474 S Citrus Ave
Azusa, CA 91702-4733

Mailing address

929 W D St
Ontario, CA 91762-3025

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X746955 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1215854112

Brenda Dominguez's National Provider Identifier is 1215854112, issued on Jul 1, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Azusa, CA. The record was last updated on Jul 1, 2026.