Individual
MRS. LAN BACH BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1814 W LINCOLN AVE, ANAHEIM, CA 92801-6730
(714) 780-5690
(714) 780-5696
Mailing address
1814 W LINCOLN AVE, ANAHEIM, CA 92801-6730
(714) 780-5690
(714) 780-5696
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093770976
—
CA
Enumeration date
04/20/2006
Last updated
11/14/2011
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