# AMELIA BUENVENIDA FNP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285226399
- **Authorized official:** AMELIA BUENVENIDA FNP-C (CEO)
- **Authorized official phone:** (619) 201-3858

## Contact information

- **Practice address:** 1729 WEBBER WAY, CHULA VISTA, CA 91913-4372
- **Practice address phone:** (619) 201-3858
- **Mailing address:** 1729 WEBBER WAY, CHULA VISTA, CA 91913-4372
- **Mailing address phone:** (619) 201-3858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2021
- **Last updated:** 04/19/2021