# FCS - HIGHLAND PARK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1437328325
- **Authorized official:** MAURICIO EDUARDO BUENO (MEDICAL DIRECTOR)
- **Authorized official phone:** (323) 791-0557

## Contact information

- **Practice address:** 5823 YORK BLVD, 1, LOS ANGELES, CA 90042-2634
- **Practice address phone:** (323) 226-1100
- **Mailing address:** 5626 OBERLIN DR STE 110, SAN DIEGO, CA 92121-1705
- **Mailing address phone:** (323) 317-9200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G77249 | CA | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | G77249 | CA | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 03/31/2026