Organization
PB PRIMARY CARE CLINIC LLC
Active
Other names
PB PRIMARY CARE CLINIC LLC, Philip N. Buenvenida, MD
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BUENVENIDA (OWNER)
(253) 874-8445
Entity
Organization
Contact information
Practice address
34617 11TH PL S STE 204, FEDERAL WAY, WA 98003-8706
(253) 874-8445
(253) 874-2085
Mailing address
34617 11TH PL S STE 204, FEDERAL WAY, WA 98003-8706
(253) 874-8445
(253) 874-2085
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000109367
MEDICARE
WA
05
—
1050640
—
WA
Enumeration date
04/26/2010
Last updated
05/01/2024
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