# ENVAP BUENVIAJE-SMITH PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ENVAP Buenviaje-Smith Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508193913
- **Authorized official:** SARAH LIGON BUENVIAJE-SMITH MD (PRESIDENT)
- **Authorized official phone:** (909) 782-8540

## Contact information

- **Practice address:** 9090 MILLIKEN AVE STE 140, RANCHO CUCAMONGA, CA 91730-5561
- **Practice address phone:** (909) 481-8444
- **Practice address fax:** (909) 481-8447
- **Mailing address:** 16085 TUSCOLA RD STE 2AND3, APPLE VALLEY, CA 92307-1358
- **Mailing address phone:** (760) 810-0301
- **Mailing address fax:** (760) 927-3256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2009
- **Last updated:** 05/14/2020