Arlene Cagampang Domingo, FNP-BC
Nurse Practitioner, Family in Lake Forest, CA. Individual provider (NPI-1).
NPI number1811601313
StatusActive
Last updated in NPPESJan 9, 2023
Details
- NPI
- 1811601313
- Entity type
- Individual (NPI-1)
- Name
- Arlene Cagampang Domingo
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2023
- Certification date
- Jan 9, 2023
- Last updated
- Jan 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95022774 | CA | Yes |
Practice location
22896 Aspan StLake Forest, CA 92630-2905
Phone 949-421-8381
Mailing address
22896 Aspan StLake Forest, CA 92630-2905
Phone 949-421-8381
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