Most Relevant Information
Provider Data
| NPI Number: | 1003801556 |
| Provider Name: | JOSEPH J DOMINGUEZ M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | G68741 |
Most Important Dates
| Enumeration Date: | 09/12/2005 |
| Last Updated: | 02/09/2011 |
Provider Practice Location
1200 B GALE WILSON BLVD
FAIRFIELD
CA
945333552
Practice Location Phone/Fax
| Phone: | 9164816800 |
| Fax: | 9164811881 |
Provider Mailing Location
PO BOX 660877
SACRAMENTO
CA
958660877
Provider Mailing Phone/Fax
| Phone: | 9164816800 |
| Fax: | 9164811881 |