Individual provider · Type 1 NPI

Evelin Yajaira Dominguez

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

NPI number 1780561803 Active

Practice location

288 Montalvin Dr
San Pablo, CA 94806-1161

Call (510) 619-4585 Map

Other practice locations

  • 2130 Fulton St, San Francisco, CA 94117-1050 · (415) 422-5555

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1780561803

Evelin Yajaira Dominguez's National Provider Identifier is 1780561803, issued on Aug 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Pablo, CA. The record was last updated on Aug 20, 2025.