person
Leo Ernie Manangan Domingo, NP
Psychiatric/Mental Health Nurse Practitioner in Aliso Viejo, California
NPI 1073281754

Leo Ernie Manangan Domingo is a Psychiatric/Mental Health Nurse Practitioner based in Santa Ana, CA and is specialized in Psychiatric/Mental Health. Leo Ernie Manangan Domingo practices in Aliso Viejo, CA and has the professional credentials of NP. The NPI Number for Leo Ernie Manangan Domingo is 1073281754 and holds a License No. 827301 (California).

The current practice location address for Leo Ernie Manangan Domingo is 200 Freedom Lane, Aliso Viejo, CA and can be reached out via phone at 877-476-2223.

Location: 200 Freedom Lane, Aliso Viejo, CA, 92701-4906
person
Provider Profile Details
NPI Number
1073281754
Provider Name
Leo Ernie Manangan Domingo
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
200 Freedom Lane, Aliso Viejo, CA, 92701-4906
Phone Number
877-476-2223
Fax Number
Provider Enumeration Date
08/30/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
200 Freedom Lane
City
State
Zip
92656
Phone Number
877-476-2223
Fax Number
person
Provider Business Mailing Address Details
Address
200 Freedom Lane
City
State
Zip
92656
Phone Number
877-476-2223
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95018365 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
827301 (California)
Definition
Definition to come...
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