Individual
IRENE J. BUNO-BRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 CRAVEN RD, SAN MARCOS, CA 92078-4201
(800) 290-5000
Mailing address
PO BOX 130580, CARLSBAD, CA 92013-0580
(760) 710-1025
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G83987
CA
207N00000X
Dermatology Physician
Primary
MD00036768
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016744
RAILROAD MEDICARE
—
01
—
1153BU
REGENCE BLUESHIELD
—
01
—
159258
LABOR & INDUSTRIES
WA
01
—
7176003
AETNA
—
05
—
8239014
—
WA
Enumeration date
05/08/2006
Last updated
03/07/2023
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