Individual
KIM HOANG BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
625 S FAIR OAKS AVE, SUITE 255, PASADENA, CA 91105-2613
(626) 304-2626
(626) 585-0695
Mailing address
625 S FAIR OAKS AVE, SUITE 255, PASADENA, CA 91105-2613
(626) 304-2626
(626) 585-0695
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A168848
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A168848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
954302200
TAX ID #
CA
01
—
A168848
OBGYN
CA
Enumeration date
06/09/2016
Last updated
07/07/2023
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