Individual
PATRICK BUENAVENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
434 S SAN VICENTE BLVD, SUITE 100, LOS ANGELES, CA 90048-4108
(310) 360-6780
Mailing address
5938 WILLOUGHBY AVE, LOS ANGELES, CA 90038-3812
(714) 873-9454
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9945
CA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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