Provider Demographics
NPI:1043016306
Name:BUENFIL VARGAS, JOSE E (DC)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:E
Last Name:BUENFIL VARGAS
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 W SAN CARLOS ST APT 432
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-5405
Mailing Address - Country:US
Mailing Address - Phone:408-707-2973
Mailing Address - Fax:
Practice Address - Street 1:5570 SANCHEZ DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1119
Practice Address - Country:US
Practice Address - Phone:408-262-7111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC37212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor