Organization
PHONG H BUI INC
Active
Other names
PHONG H BUI INC
Organization subpart
No
Provider details
NPI number
Authorized official
PHONG H BUI DO (MD/PRESIDENT)
(714) 925-9380
Entity
Organization
Contact information
Practice address
16055 BROOKHURST ST, SUITE C, FOUNTAIN VALLEY, CA 92708-1544
(714) 839-2400
(714) 839-2401
Mailing address
16055 BROOKHURST ST, SUITE C, FOUNTAIN VALLEY, CA 92708-1544
(714) 839-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A101682
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A101682
LICENCE NUMBER
CA
Enumeration date
03/13/2014
Last updated
12/04/2020
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