Organization · Type 2 NPI

Miguel Dominguez Md, A Professional Corporation

Non-Pharmacy Dispensing Site · Tustin, CA

NPI number 1639444292 Active

Practice location

18102 Irvine Blvd, Ste 208
Tustin, CA 92780-3402

Call (714) 371-9000 Map

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1639444292

Miguel Dominguez Md, A Professional Corporation's National Provider Identifier is 1639444292, issued on Mar 15, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Tustin, CA. The record was last updated on Mar 15, 2012.