IndividualActive
Adrian Domingo
NPI 1164770889 · Licensed Vocational Nurse · San Diego, CA
Provider details
- NPI number
- 1164770889
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- VN242682 (CA)
Specialties & taxonomies
Nursing Service Providers
Practice location
3853 Rosecrans Street
San Diego, CA 92110-3886
Phone: (619) 692-8232
Approximate (ZIP-level) locationGet directions
Mailing address
3853 Rosecrans Street
San Diego, CA 92110-3886
Registry dates
- Enumerated
- 2012-08-28
- Last updated
- 2012-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.