Individual
DR. TAM MINH BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11180 WARNER AVE, SUITE 459, FOUNTAIN VALLEY, CA 92708-7501
(714) 545-1133
(714) 545-1144
Mailing address
11180 WARNER AVE, SUITE 459, FOUNTAIN VALLEY, CA 92708-7501
(714) 545-1133
(714) 545-1144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G59804
CA
207Y00000X
Otolaryngology Physician
Primary
G59804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G59804
—
CA
Enumeration date
07/26/2005
Last updated
03/30/2020
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