Michele B Domico in Orange - Pediatric Critical Care Medicine
Michele B Domico - NPI 1932305000
Michele B Domico is a Pediatric Critical Care Medicine in Orange, California. Michele B Domico practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Michele B Domico is 1932305000. The last update date is 2007-07-08.
Michele B Domico's current location address is 455 S Main St, Orange, California. You can contact this provider via phone number 7145328620 and fax number 7142894072. The mailing address for Michele B Domico is 455 S Main St, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michele B Domico |
|---|---|
| Address | 455 S Main St, Orange, California |
| Phone Number | 7145328620 |
| Fax Number | 7142894072 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932305000 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 455 S Main St |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928683835 |
| Phone Number | 7145328620 |
| Fax Number | 7142894072 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | A83525 |
|
Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A835250 | CA | -- |
Post Comment/ Review Below
What is the Michele B Domico's 1932305000?
The Michele B Domico's NPI (National Provider Identifier) Number is 1932305000. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michele B Domico is located?
The Michele B Domico is situated at the following address: 455 S Main St, Orange, CA, 928683835.
What is Michele B Domico's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michele B Domico is Pediatric Critical Care Medicine, and the corresponding taxonomy classification code for this specialized field is 2080P0203X.
On what date did Michele B Domico receive its 1932305000 assignment from the Centers for Medicare & Medicaid Services?
The Michele B Domico was assigned its 1932305000 on 2007-06-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Michele B Domico most recently updated or revised?
The information pertaining to Michele B Domico, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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