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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE MAE DOMINGO

Active

MICHELLE MAE DOMINGO is a Medical Physician Assistant healthcare provider located in SOUTH GATE, California. NPI 1457660391 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · SOUTH GATE, CA

Registration Details

NPI Number
1457660391
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2010 (15.843597396186 yrs)
Last Updated
Jun 23, 2015
License
52600 (CA)

Practice Information

Address
4075 TWEEDY BLVD
SOUTH GATE, CA, 902806146
Browse CA providers · Browse ZIP 90280
Phone
3235664111
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in SOUTH GATE, CA

Name Credential NPI
MR. DANIEL REY PALLAN PA 1457577587
NANCY SHENOUDA PA 1427290980
MONICA DIAZ PAC 1316277700
KENIA NICHELLE WATKINS PA 1639464845
ROSANA HERNANDEZ PA-C 1972849693
MELISSA GALVEZ 1437542883
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.