Organization
BUELLTERRA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY GUNDU (OFFICE MANAGER)
(805) 686-8555
Entity
Organization
Contact information
Practice address
195 W HIGHWAY 246, BUELLTON, CA 93427-9459
(805) 686-8555
(805) 686-8556
Mailing address
195 W HIGHWAY 246, BUELLTON, CA 93427-9459
(805) 686-8555
(805) 686-8556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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