MARK RYAN V. DOMINGO – NPI #1245084458
Specialist/Technologist, Pathology
MARK RYAN DOMINGO is a technologist located in SAN JUAN CAPISTRANO, CA. NPPES has assigned the NPI number 1245084458 to MARK RYAN DOMINGO on April 15, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246QM0706X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Medical Technologist
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NPI Profile for
MARK RYAN V. DOMINGO
(more than 2 years ago)
SAN JUAN CAPISTRANO, CA 92675 Phone: (800) 642-4657 Fax:
LADERA RANCH, CA 92694-0766 Phone: (949) 615-8407 Fax:
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 246QM0706X - Specialist/Technologist, Pathology / Medical Technologist (Primary) |
CA | MTA-02245121 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.