Amanda Kristen Dominguez
Athletic Trainer · Pacoima, CA
Practice location
11005 Norris Ave # 43Pacoima, CA 91331-2501
- Phone
- (818) 480-1144
NPI record
- NPI
- 1114596244
- Entity type
- Individual (Type 1)
- Enumeration date
- June 22, 2021
- Last updated
- June 22, 2021
- Certified
- June 22, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
2013 | CA |
About Amanda Dominguez
Amanda Kristen Dominguez is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 11005 Norris Ave # 43, Pacoima, CA 91331-2501. The NPI number 1114596244 was assigned on June 22, 2021 and the record was last updated on June 22, 2021.
Amanda Dominguez lists a license in the registry: #2013 (CA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Amanda Kristen Dominguez?
The NPI number is 1114596244.
What is the phone number of Amanda Dominguez?
The phone number listed for the practice location is (818) 480-1144.
Where is Amanda Dominguez located?
11005 Norris Ave # 43, Pacoima, CA 91331-2501.
What is the taxonomy code for Amanda Dominguez?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.