Organization
JAY KENNETH P BUENAFLOR MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY KENNETH P BUENFLOR MD (MD)
(760) 344-7976
Entity
Organization
Contact information
Practice address
608 G ST, SUITE 1A, BRAWLEY, CA 92227-2568
(760) 351-2127
Mailing address
608 G ST, SUITE 1A, BRAWLEY, CA 92227-2568
(760) 351-2127
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A82945
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A829450
—
CA
Enumeration date
06/09/2007
Last updated
04/01/2008
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