Mark Ryan Ventura Domingo
Mark Ryan Ventura Domingo is a Medical Technologist in San Juan Capistrano, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
33608 Ortega Hwy San Juan CapistranoSan Juan Capistrano, CA 92675
Phone: (800) 642-4657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Technologist (primary) | Taxonomy 246QM0706X · Licence MTA-02245121 (CA) |
|---|
Record details
| NPI number | 1245084458 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2024 |
| Last updated in NPPES | April 15, 2024 |
| Certification date | April 9, 2024 |