Individual
MINH THI BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13309 VAN NUYS BLVD, PACOIMA, CA 91331-3006
(818) 896-1438
(818) 896-4899
Mailing address
11518 DORAL AVE, NORTHRIDGE, CA 91326-1829
(818) 368-5747
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA16197
—
CA
Enumeration date
11/01/2006
Last updated
07/09/2007
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