Individual
SARAH LIGON BUENVIAJE-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16085 TUSCOLA RD, SUITE 2 AND 3, APPLE VALLEY, CA 92307-1358
(760) 810-0301
(760) 927-8885
Mailing address
16085 TUSCOLA RD, SUITE 2 AND 3, APPLE VALLEY, CA 92307-1358
(760) 810-0301
(760) 927-3256
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
11504
NV
207L00000X
Anesthesiology Physician
C52647
CA
208VP0000X
Pain Medicine Physician
Primary
C52647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506895
—
NV
Enumeration date
02/01/2006
Last updated
06/01/2016
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