| Doctor Name: | DR. DOMINADOR C GINES |
| NPI Number: | 1104856913 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 132 Alta Street Gonzales, CA - 939263005 |
| Business Phone Number: | 8316759401 |
| Business Fax Number: | 8316750887 |
| Mailing Address: | Po Box 3005, 132 Alta Street GONZALES |
| State: | CA |
| Postal Code: | 93926 |
| Phone Number: | 8316759401 |
| Fax Number: | 8316750887 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 09/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |