Individual
DR. DIANE T BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
39765 DATE ST, SUITE 102, MURRIETA, CA 92563-2005
(951) 894-4665
(951) 894-5178
Mailing address
39765 DATE ST, SUITE 102, MURRIETA, CA 92563-2005
(951) 894-4665
(951) 894-5178
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A9296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020A92960
BLUE SHIELD OF CA
CA
01
—
20A9296
STATE LICENSE
CA
Enumeration date
08/08/2007
Last updated
11/04/2011
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