NPI 1003583618
Deanza Dominguez, MASSAGETHERAPIST
Practice location
- Address
- 6221 Wilshire Blvd STE 518, Los Angeles, CA 90048-5223
- Phone
- (323) 549-0700
- Mailing address
- 6355 de Soto Ave APT A305, Woodland Hills, CA 91367-2647
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1003583618
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Aug 2021
- Record last updated
- 23 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.