Individual
JOSE BENAVIDEZ BUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19273 KANBRIDGE ST, APPLE VALLEY, CA 92308-6071
(760) 912-1613
Mailing address
19273 KAMBRIDGE STREET, APPLE VALLEY, APPLE VALLEY, CA 92308
(760) 912-1613
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO019480
MD
Other
Enumeration date
10/05/2006
Last updated
07/30/2014
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