Healthcare Provider Details

I. General information

NPI: 1043016306
Provider Name (Legal Business Name): JOSE E BUENFIL VARGAS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5570 SANCHEZ DR STE 100
SAN JOSE CA
95123-1119
US

IV. Provider business mailing address

1432 W SAN CARLOS ST APT 432
SAN JOSE CA
95126-5405
US

V. Phone/Fax

Practice location:
  • Phone: 408-262-7111
  • Fax:
Mailing address:
  • Phone: 408-707-2973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37212
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: