MEDICARE: BUENA MEDICAL GROUP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669940003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUENA MEDICAL GROUP

Provider Business Mailing Address
First Line	:	905 S A ST STE 1
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-9253
Country	:	US
Telephone Number	:	805-487-9150
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 S A ST STE 1
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-9253
Country	:	US
Telephone Number	:	805-487-9150
Fax Number	:	805-487-9152

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NARESH R PATEL
Credential	:	MD
Telephone Number	:	714-915-5779

Provider Enumeration Date	:	11/03/2018
Last Update Date	:	02/16/2024

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Directions to “BUENA MEDICAL GROUP ” Practice Location

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