IndividualActive
Ada Dominguez, PT
NPI 1649482589 · Pediatric Physical Therapist · Los Angeles, CA
Provider details
- NPI number
- 1649482589
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 12757 (CA)
Practice location
1200 N State St
Los Angeles, CA 90033
Phone: (323) 226-3765
Fax: (323) 226-2688
Mailing address
15510 Rojas St
Hacienda Heights, CA 91745
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.