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NPI Code Detail

MEDICARE: JENNIFER DOMINGO-MIHALKO MD

MEDICARE:   JENNIFER  DOMINGO-MIHALKO  MD
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
1207V00000XObstetrics & Gynecology PhysicianA64430CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871556431
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER DOMINGO-MIHALKO MD
Provider Business Mailing Address
First Line : 751 S BASCOM AVE
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2604
Country : US
Telephone Number : 408-885-5000
Fax Number :
Provider Business Practice Location Address
First Line : 750 S BASCOM AVE
Second Line : VHC OB/GYN CLINIC
City : SAN JOSE
State : CA
Zip : 95128-2603
Country : US
Telephone Number : 408-885-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 09/12/2007

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Directions to “ JENNIFER DOMINGO-MIHALKO MD” Practice Location

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