M.l.domaguing,jr.m.d. - Medicare Primary Care in Covina, CA

M.l.domaguing,jr.m.d. is a medicare enrolled primary clinic (Family Medicine) in Covina, California. The current practice location for M.l.domaguing,jr.m.d. is 648 Rancho Los Nogales Dr, Covina, California. For appointments, you can reach them via phone at (626) 862-3584. The mailing address for M.l.domaguing,jr.m.d. is 648 Rancho Los Nogales Dr, Covina, California and phone number is (626) 862-3584.

M.l.domaguing,jr.m.d. is licensed to practice in California (license number A37893). The clinic also participates in the medicare program and its NPI number is 1336255694. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (626) 862-3584.

Contact Information

M.l.domaguing,jr.m.d.
648 Rancho Los Nogales Dr
Covina
CA 91724-3351
(626) 862-3584
(626) 331-1839

Primary Care Clinic Profile

Full NameM.l.domaguing,jr.m.d.
SpecialityFamily Medicine
Location648 Rancho Los Nogales Dr, Covina, California
Authorized Official Name and PositionMacario L Domaguing Jr. (MD OWNER)
Authorized Official Contact6263354129
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
M.l.domaguing,jr.m.d.
648 Rancho Los Nogales Dr
Covina
CA 91724-3351

Ph: (626) 862-3584
M.l.domaguing,jr.m.d.
648 Rancho Los Nogales Dr
Covina
CA 91724-3351

Ph: (626) 862-3584

NPI Details:

NPI Number1336255694
Provider Enumeration Date08/21/2006
Last Update Date02/27/2015

Medicare PECOS Information:

Medicare PECOS PAC ID9234208745
Medicare Enrollment IDO20080522000551

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Medical Identifiers

Medical identifiers for M.l.domaguing,jr.m.d. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336255694NPI-NPPES
W22352MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A37893 (California)Primary

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