Charles E Dominguez (NPI# 1063437507, PAC ID# 6800817875) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1063437507 |
| PAC ID by PECOS | 6800817875 |
| Professional Enrollment ID | I20051219000329 |
| Full Name | Charles E Dominguez |
| Organization Legal Name | DE LA PENA EYE CLINIC A MEDICAL GROUP INC |
| Address |
2446 W Whittier Blvd Montebello CA 90640-3041 |
| Phone Number | 3237285500 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2961300116 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 21098 Bake Pkwy, Suite 110, Lake Forest, CA 92630-2163 | 9495970104 | DOMINGUEZ ALDERSON OPTOMETRIC INC. |
| 2446 W Whittier Blvd, Montebello, CA 90640-3041 | 3237285500 | DE LA PENA EYE CLINIC A MEDICAL GROUP INC |
| 1520 N Grand Ave, Santa Ana, CA 92701-2627 | 7145581385 | DE LA PENA EYE CLINIC A MEDICAL GROUP INC |
| Organization Legal Name | DE LA PENA EYE CLINIC A MEDICAL GROUP INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Mandel | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 139 S Alvarado St, Los Angeles, CA 90057-2201 |
| Melissa J Mayberry | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2715 E Florence Ave, Huntington Park, CA 90255-5746 |
| George M Salib | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 1520 N Grand Ave, Santa Ana, CA 92701-2627 |
| Evelyn M Perez | Optometry | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Alejandra Uchio | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Hamideh S Moayedpardazi | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| William C Delapena | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Meggie N Nguyen | Optometry | De La Pena Eye Clinic A Medical Group Inc | 139 S Alvarado St, Los Angeles, CA 90057-2201 |
| Susan K Ung | Optometry | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Lynn L Huang | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 139 S Alvarado St, Los Angeles, CA 90057-2201 |
| Street Address |
2446 W WHITTIER BLVD |
| City | MONTEBELLO |
| State | CA |
| Zip | 90640-3041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evelyn M Perez | Optometry | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Alejandra Uchio | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Hamideh S Moayedpardazi | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| William C Delapena | Ophthalmology | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Susan K Ung | Optometry | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Adriana Sanchez | Optometry | De La Pena Eye Clinic A Medical Group Inc | 2446 W Whittier Blvd, Montebello, CA 90640-3041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jackson C Ma | Internal Medicine | Access Primary Care Physicians Inc | 101 W Beverly Blvd, Suite 100a, Montebello, CA 90640 |
| Marie Grace E Miguel | Nurse Practitioner | Vijay M Dhawan M.d. Inc | 3420 W Beverly Blvd, Montebello, CA 90640-1539 |
| Edgar P Toscano | Nephrology | 3404 W Beverly Blvd, Montebello, CA 90640-1539 | |
| Charles W Lin | Internal Medicine | 3400 W Beverly Blvd, Montebello, CA 90640-1539 | |
| Vijay M Dhawan | Internal Medicine | Vijay M Dhawan M.d. Inc | 3420 W Beverly Blvd, Montebello, CA 90640-1539 |
| Kamlesh T Dhawan | Cardiovascular Disease (cardiology) | Vijay M Dhawan M.d. Inc | 3420 W Beverly Blvd, Montebello, CA 90640-1539 |
| Rahul Dhawan | Nephrology | Vijay M Dhawan M.d. Inc | 3420 W Beverly Blvd, Montebello, CA 90640-1539 |
| Melvin L Ng | Nurse Practitioner | Healthcare Partners Affiliates Medical Group | 2603 Via Campo, Montebello, CA 90640-1807 |
| William A Origel | Obstetrics/gynecology | Healthcare Partners Affiliates Medical Group | 2601 Via Campo, Montebello, CA 90640-1807 |
| Eun Kyung Lee | Family Medicine | Healthcare Partners Affiliates Medical Group | 2603 Via Campo, Montebello, CA 90640-1807 |
| Find all physicians in zip 90640 | |||
| City | MONTEBELLO |
| Zip Code | 90640 |
| Specialty | OPTOMETRY |
| City + Specialty | MONTEBELLO + OPTOMETRY |
Please comment or provide details below to improve the information on Charles E Dominguez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.