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Contact Information

NOEL DOMINGUEZ
1455 3RD AVE
SAN BERNARDINO, CA92408-0218
 Phone: 909-382-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NOEL DOMINGUEZ · (Female)

NPI Number 1932584737
Status Active
Credentials
Entity Individual
Enumeration date 07/22/2015
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 95002720
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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