Organization
REBECCA BUI VAN O D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BUI VAN OD (DOCTOR)
(916) 483-6661
Entity
Organization
Contact information
Practice address
4005 MANZANITA AVE STE 57, CARMICHAEL, CA 95608-1784
(916) 483-6661
(916) 514-8637
Mailing address
4005 MANZANITA AVE STE 57, CARMICHAEL, CA 95608-1784
(916) 483-6661
(916) 514-8637
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
112098T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750526224
—
CA
Enumeration date
12/11/2008
Last updated
06/14/2024
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