Individual provider · Type 1 NPI

Victor Banuelos

Student in an Organized Health Care Education/Training Program · Riverside, CA

NPI number 1336005693 Active

Practice location

9890 County Farm Rd Ste 3
Riverside, CA 92503-3678

Call (951) 509-8320 Map

Mailing address

720 Savi Dr Unit 101
Corona, CA 92878-4110

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336005693

Victor Banuelos's National Provider Identifier is 1336005693, issued on Dec 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverside, CA. The record was last updated on Dec 30, 2025.