Organization
TAM M. BUI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAM M. BUI M.D. (MEDICAL DOCTOR)
(714) 545-1133
Entity
Organization
Contact information
Practice address
11180 WARNER AVE STE 459, FOUNTAIN VALLEY, CA 92708-7505
(714) 545-1133
Mailing address
11180 WARNER AVE STE 459, FOUNTAIN VALLEY, CA 92708-7505
(714) 545-1133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G59804
CA
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G598040
—
CA
Enumeration date
08/22/2008
Last updated
03/30/2020
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