Fernando Alfonso Dominguez, MD | |
4004 Beyer Blvd, San Ysidro, CA 92173-2007 | |
(619) 662-4100 | |
Not Available |
Full Name | Fernando Alfonso Dominguez |
---|---|
Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 4004 Beyer Blvd, San Ysidro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972917672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | A154708 (California) | Primary |
Entity Name | Family Health Centers Of San Diego Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Entity Name | Telemedicine Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326338237 PECOS PAC ID: 9830351824 Enrollment ID: O20120509000349 |
Mailing Address | Practice Location Address |
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Fernando Alfonso Dominguez, MD 1601 Precision Park Ln, San Ysidro, CA 92173-1345 Ph: () - | Fernando Alfonso Dominguez, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 662-4100 |
Sharonya Shrivastava, Infectious Disease Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Andrea Helen Polesky, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Michele A. Lamantia, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro Health Center, San Ysidro, CA 92173 Phone: 619-917-7122 Fax: 619-474-3722 | |
Dr. Chitra Fernando, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Ivy C. Issa, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3364 Beyer Blvd Ste 102, San Ysidro, CA 92173 Phone: 619-662-4100 | |
Dr. Ramon Sy, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-428-4463 Fax: 619-428-2625 |