Organization
BUENAVENTURA AFFILIATED PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE BUI (ADMINISTRTOR)
(562) 888-1415
Entity
Organization
Contact information
Practice address
6780 INDIANA AVE, SUITE 110, RIVERSIDE, CA 92506-4270
(951) 682-1622
(951) 682-5902
Mailing address
3900 KILROY AIRPORT WAY, STE 110, LONG BEACH, CA 90806-6809
(562) 888-1415
(562) 424-1826
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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