Healthcare Provider Details

I. General information

NPI: 1053608745
Provider Name (Legal Business Name): ARTURO DOMINGUEZ PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2011
Last Update Date: 04/20/2025
Certification Date: 04/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2355 N OXNARD BLVD
OXNARD CA
93036-2065
US

IV. Provider business mailing address

2355 N OXNARD BLVD
OXNARD CA
93036-2065
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-1991
  • Fax:
Mailing address:
  • Phone: 805-485-1991
  • Fax: 805-485-1994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number64681
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number64681
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: