Organization
BUEN VITA IV MED SPA PROFESSIONAL CORPORATION
Active
Other names
BUEN VITA IV MED SPA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE BUENROSTRO MD (MEDICAL DIRECTOR)
(209) 250-2535
Entity
Organization
Contact information
Practice address
2330 COLORADO AVE, TURLOCK, CA 95382-2013
(209) 250-2535
(209) 633-3433
Mailing address
2330 COLORADO AVE, TURLOCK, CA 95382-2013
(209) 250-2535
(209) 633-3433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
01/09/2025
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