Healthcare Provider Details

I. General information

NPI: 1639239155
Provider Name (Legal Business Name): HILARY A. BUFF MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3142 VISTA WAY SUITE 205
OCEANSIDE CA
92056
US

IV. Provider business mailing address

3142 VISTA WAY SUITE 205
OCEANSIDE CA
92056
US

V. Phone/Fax

Practice location:
  • Phone: 760-758-1480
  • Fax:
Mailing address:
  • Phone: 760-758-1480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: