Michelle Mae Domingo
NPI #1457660391 in South Gate, California
Provider Information
- NPI Number
- 1457660391
- Entity Type
- Individual
- Name
- Michelle Mae Domingo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Sep 27, 2010
- Last Updated
- Jun 23, 2015
Practice Location
- Address
- 4075 TWEEDY BLVD
- City
- South Gate
- State
- California
- ZIP Code
- 90280-6146
- Phone
- (323) 566-4111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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