| NPI | 1902633126 |
|---|---|
| Doing Business As | BUEN VITA HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOSE BUENROSTRO Medical Director 209-250-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |