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NPI Code Detail

MEDICARE: DOMINIQUE NAKAGI

MEDICARE:   DOMINIQUE  NAKAGI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker138638CA

General Provider Information

NPI Number : 1093491524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIQUE NAKAGI
Provider Business Mailing Address
First Line : PO BOX 92511
Second Line :
City : LONG BEACH
State : CA
Zip : 90809-2511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2009 PALO VERDE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-3322
Country : US
Telephone Number : 562-794-7008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2023
Last Update Date : 06/03/2026

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Directions to “ DOMINIQUE NAKAGI ” Practice Location

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