Individual provider · Type 1 NPI

Ivan Matthew Dominguez

Student in an Organized Health Care Education/Training Program · Ventura, CA

NPI number 1760328983 Active

Practice location

147 N Brent St
Ventura, CA 93003-2809

Call (805) 948-5672 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Psychiatry Physician 2084P0800X22871 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760328983

Ivan Matthew Dominguez's National Provider Identifier is 1760328983, issued on Apr 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ventura, CA. The record was last updated on Oct 18, 2026.