# TAM M. BUI, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871740605
- **Authorized official:** DR. TAM M. BUI M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (714) 545-1133

## Contact information

- **Practice address:** 11180 WARNER AVE STE 459, FOUNTAIN VALLEY, CA 92708-7505
- **Practice address phone:** (714) 545-1133
- **Mailing address:** 11180 WARNER AVE STE 459, FOUNTAIN VALLEY, CA 92708-7505
- **Mailing address phone:** (714) 545-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | G59804 | CA | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/22/2008
- **Last updated:** 03/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G598040 | — | CA |