| Joel Dominguez, MA, MFT | |
|
4050 Katella Ave, Suite 102, Los Alamitos, CA 90720-3434 | |
| (562) 260-9058 | |
| Not Available |
| Full Name | Joel Dominguez |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 4050 Katella Ave, Los Alamitos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487902433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC52052 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Dominguez, MA, MFT 1604 Crescent Heights St, Signal Hill, CA 90755-3602 Ph: (562) 260-9058 | Joel Dominguez, MA, MFT 4050 Katella Ave, Suite 102, Los Alamitos, CA 90720-3434 Ph: (562) 260-9058 |
Mr. Keith David Attardo, M.S. , MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4132 Katella Ave Ste 104, Los Alamitos, CA 90720 Phone: 562-234-4194 | |
Jane K. Shintaku, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5152 Katella Ave # 202-d, Los Alamitos, CA 90720 Phone: 714-309-8793 | |
Gary Paul Mendoza, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5212 Katella Ave Ste 101, Los Alamitos, CA 90720 Phone: 714-679-1635 Fax: 714-505-6097 | |
Mrs. Gina M. Lukes, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3662 Katella Ave Ste 116, Los Alamitos, CA 90720 Phone: 562-431-8822 Fax: 562-431-8875 | |
Mr. Jeffrey A. Pash, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11110 Los Alamitos Blvd, Suite 215, Los Alamitos, CA 90720 Phone: 714-833-1569 Fax: 562-981-2622 | |
Zahra Hayderzadeh, Couples Therapy Medicare: Medicare Enrolled Practice Location: 4281 Katella Ave Ste 226, Los Alamitos, CA 90720 Phone: 714-455-9904 | |
Meghan Williams, M.A.,LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5212 Katella Ave, Ste. 106, Los Alamitos, CA 90720 Phone: 714-558-9266 |