Healthcare Provider Details

I. General information

NPI: 1669940003
Provider Name (Legal Business Name): BUENA MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2018
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 S A ST STE 1
OXNARD CA
93030-9253
US

IV. Provider business mailing address

905 S A ST STE 1
OXNARD CA
93030-9253
US

V. Phone/Fax

Practice location:
  • Phone: 805-487-9150
  • Fax: 805-487-9152
Mailing address:
  • Phone: 805-487-9150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NARESH R PATEL
Title or Position: PRESIDENT
Credential: MD
Phone: 714-915-5779