Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN DOMINGUEZ
Active Sole ProprietorIVAN DOMINGUEZ is a Driver healthcare provider located in EL DORADO HILLS, California. NPI 1629814116 is currently active in the NPPES registry. Verify at CMS.
Driver · EL DORADO HILLS, CA
Registration Details
- NPI Number
- 1629814116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2024 (2.0886348375321 yrs)
- Last Updated
- Jul 12, 2024
- License
-
D5281191 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
824 MOUNT RANIER WAYEL DORADO HILLS, CA, 957624449Browse CA providers · Browse ZIP 95762
- Phone
- 8185193699
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in EL DORADO HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| MISS FARAH ABADI | — | 1427859909 |
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.