Ms. Evelyn Dominguez
Nurse Practitioner Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
1655 S Western Ave
Los Angeles
, California 90006-5801
Ms. Evelyn Dominguez
Nurse Practitioner Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
1655 S Western Ave
Los Angeles
, California 90006-5801
(323) 737-5400
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Ms. Evelyn Dominguez
- 1655 S Western Ave
- Los Angeles, CA
- Zip : 90006-5801
- Fax : (323) 737-5400
- Phone : (323) 737-5200
Second Address
- Ms. Evelyn Dominguez
- 1655 S Western Ave
- Los Angeles, CA
- Zip : 90006-5801
- Fax : (323) 737-5400
- Phone : (323) 737-5200
Reviews
FAQs
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Is Ms. Evelyn Dominguez a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 95006362 | CA |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 95006362 | CA |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 95006362 | CA |
National Provider Identifier
| NPI | 1033645312 |
|---|---|
| Provider Name | Ms. Evelyn Dominguez |
| First Address | Los Angeles, CA 90006-5801 |
| Second Address | Los Angeles, CA 90006-5801 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2017 |
| Last Update Date | 06/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.