Fernando Carlos Dominguez in Ventura - Licensed Psychiatric Technician
Fernando Carlos Dominguez - NPI 1700078607
Fernando Carlos Dominguez is a Licensed Psychiatric Technician in Ventura, California. Fernando Carlos Dominguez practices all healthcare services and medical treatments related to Licensed Psychiatric Technician. The NPI Number for Fernando Carlos Dominguez is 1700078607. The last update date is 2007-08-14.
Fernando Carlos Dominguez's current location address is 300 Hillmont Ave, Ventura, California. You can contact this provider via phone number 8056526727. The mailing address for Fernando Carlos Dominguez is 300 Hillmont Ave, Ventura, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fernando Carlos Dominguez |
|---|---|
| Address | 300 Hillmont Ave, Ventura, California |
| Phone Number | 8056526727 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPT |
NPI Number Detail
| NPI Number | 1700078607 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 300 Hillmont Ave |
|---|---|
| City | Ventura |
| State | California (CA) |
| Post Code | 930031651 |
| Phone Number | 8056526727 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Psychiatric Technician |
|---|---|
| Taxonomy | 167G00000X |
| Licence No | PT26056 |
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Definition: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psych |
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What is the unique provider identifier assigned to Fernando Carlos Dominguez?
The Fernando Carlos Dominguez has been issued the NPI (National Provider Identifier) 1700078607 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Fernando Carlos Dominguez?
The Fernando Carlos Dominguez is physically situated at 300 Hillmont Ave, in the city of Ventura, state of CA, with the postal code 930031651.
What is Fernando Carlos Dominguez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fernando Carlos Dominguez is Licensed Psychiatric Technician, and the taxonomy code that classifies this field of practice is 167G00000X.
On what date did the Fernando Carlos Dominguez receive its 1700078607 assignment from the Centers for Medicare & Medicaid Services?
The Fernando Carlos Dominguez was assigned its 1700078607 by the Centers for Medicare & Medicaid Services on 2007-08-14.
When was the information related to Fernando Carlos Dominguez most recently updated or refreshed?
The details pertaining to the Fernando Carlos Dominguez, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-14.
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