MEDICARE: MY HEALTH MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1265719033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY HEALTH MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	1221 BROADWAY FL 7
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612-1837
Country	:	US
Telephone Number	:	415-972-4171
Fax Number	:	510-848-2831

Provider Business Practice Location Address
First Line	:	1580 VALENCIA ST STE 201
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4420
Country	:	US
Telephone Number	:	415-550-0811
Fax Number	:

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	MAURICIO EDUARDO BUENO
Credential	:	MD
Telephone Number	:	323-791-0557

Provider Enumeration Date	:	11/08/2011
Last Update Date	:	02/09/2026

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Directions to “MY HEALTH MEDICAL GROUP INC ” Practice Location

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