Healthcare Provider Details

I. General information

NPI: 1265730709
Provider Name (Legal Business Name): ANGELA JEAN BUFFINGTON PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2011
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14781 POMERADO RD # 208
POWAY CA
92064-2802
US

IV. Provider business mailing address

14781 POMERADO RD # 208
POWAY CA
92064-2802
US

V. Phone/Fax

Practice location:
  • Phone: 858-357-5648
  • Fax:
Mailing address:
  • Phone: 858-357-5648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY32331
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: