Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | A82140 | CA |
NPI | 1013027838 |
---|---|
Provider Name | Amy Thu Bui |
First Address | Mission Viejo, CA 92691-6330 |
Second Address | Mission Viejo, CA 92691-6384 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 15/10/2021 |