person
Amanda Antoinette Dominguez, PA-C
Medical Physician Assistant in Westlake Village, California
NPI 1265059307

Amanda Antoinette Dominguez is a Medical Physician Assistant based in Moorpark, CA and is specialized in Medical. Amanda Antoinette Dominguez practices in Westlake Village, CA and has the professional credentials of PA-C. The NPI Number for Amanda Antoinette Dominguez is 1265059307 and holds a License No. PA17489 (California).

The current practice location address for Amanda Antoinette Dominguez is 1240 S Westlake Blvd Ste 205, Westlake Village, CA and can be reached out via phone at 805-495-0551.

Location: 1240 S Westlake Blvd Ste 205, Westlake Village, CA, 93021-1272
person
Provider Profile Details
NPI Number
1265059307
Provider Name
Amanda Antoinette Dominguez
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1240 S Westlake Blvd Ste 205, Westlake Village, CA, 93021-1272
Phone Number
805-495-0551
Fax Number
Provider Enumeration Date
07/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1240 S Westlake Blvd Ste 205
City
State
Zip
91361-1992
Phone Number
805-495-0551
Fax Number
person
Provider Business Mailing Address Details
Address
1240 S Westlake Blvd Ste 205
City
State
Zip
91361-1992
Phone Number
805-495-0551
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA17489 (California)
Definition
Definition to come...
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