Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A131712 | CA |
NPI | 1245573039 |
---|---|
Provider Name | Kristen Buono |
First Address | Orange, CA 92868-5900 |
Second Address | Orange, CA 92868-5900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2013 |
Last Update Date | 17/03/2018 |