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Dominic De Marco, MD
Student in an Organized Health Care Education/Training Program in Pasadena, California
NPI 1164084836

Dominic De Marco is a Student in an Organized Health Care Education/Training Program based in Granite Bay, CA. Dominic De Marco practices in Pasadena, CA and has the professional credentials of MD. The NPI Number for Dominic De Marco is 1164084836 and holds a License No. 0000 (California).

The current practice location address for Dominic De Marco is 100 W California Blvd, Pasadena, CA and can be reached out via phone at 626-421-7733.

Location: 100 W California Blvd, Pasadena, CA, 95746-7186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164084836
Provider Name
Dominic De Marco
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 W California Blvd, Pasadena, CA, 95746-7186
Phone Number
626-421-7733
Fax Number
Provider Enumeration Date
07/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 W California Blvd
City
Pasadena
State
California
Zip
91105-3010
Phone Number
626-421-7733
Fax Number
person
Provider Business Mailing Address Details
Address
100 W California Blvd
City
Pasadena
State
California
Zip
91105-3010
Phone Number
626-421-7733
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0000 ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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