Banuelos, Alfonso F

Banuelos, Alfonso F is an individual health care provider with primary practice located at 751 S Bascom Ave Hospital Administration, San Jose CA 95128-2604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Banuelos, Alfonso F can be contacted via phone (408) 885-4001.

Contact Information

Primary practice address
751 S Bascom Ave Hospital Administration San Jose CA 95128-2604
Phone: (408) 885-4001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X G45949 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G45949 California

Profile Details

NPI number 1295720613
LBN Legal business name Banuelos, Alfonso F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Sep 13th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295720613 NPPES
California MEDICAID 00G459490

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