1811061468 NPI number — DR. CHRISTOPHER DUONG BUI MD

Table of content: DR. CHRISTOPHER DUONG BUI MD (NPI 1811061468)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811061468 NPI number — DR. CHRISTOPHER DUONG BUI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUI
Provider First Name:
CHRISTOPHER
Provider Middle Name:
DUONG
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BUI
Provider Other First Name:
DUONG
Provider Other Middle Name:
XUAN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1811061468
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
202 N. EUCLID
Provider Second Line Business Mailing Address:
201
Provider Business Mailing Address City Name:
SANTA ANA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92703-3090
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-531-3535
Provider Business Mailing Address Fax Number:
714-531-5950

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
202 N. EUCLID
Provider Second Line Business Practice Location Address:
201
Provider Business Practice Location Address City Name:
SANTA ANA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92703-3090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-531-3535
Provider Business Practice Location Address Fax Number:
714-531-5950
Provider Enumeration Date:
11/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  A49625 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1568738219 . This is a "NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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