Individual provider · Type 1 NPI
Mark Ryan Ventura Domingo
Medical Technologist · San Juan Capistrano, CA
NPI number
1245084458
Active
Practice location
33608 Ortega Hwy San Juan Capistrano
San Juan Capistrano, CA 92675
Mailing address
70 Sklar St Apt 603
Ladera Ranch, CA 92694-0766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Technologist Primary | 246QM0706X | MTA-02245121 (CA) |
Medical Technologist: Definition to come...
Other medical technologist providers in San Juan Capistrano
About NPI 1245084458
Mark Ryan Ventura Domingo's National Provider Identifier is 1245084458, issued on Apr 15, 2024. The primary taxonomy on file is Medical Technologist (246QM0706X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Apr 15, 2024.