Individual
MATTHEW H BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8635 W 3RD ST, SUITE 1 WEST, LOS ANGELES, CA 90048-6101
(310) 854-9898
(310) 854-1994
Mailing address
8635 W 3RD ST, SUITE 1 WEST, LOS ANGELES, CA 90048-6101
(310) 854-9898
(310) 854-1994
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34055
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86080015085259D013
TRIWEST
AZ
05
—
945298
—
AZ
01
—
P00254570
RAILROAD MEDICARE
AZ
Enumeration date
12/06/2005
Last updated
07/09/2010
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