Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | G67716 | CA |
NPI | 1013957125 |
---|---|
Provider Name | Brian A. Bui |
First Address | Murrieta, CA 92563-9151 |
Second Address | Murrieta, CA 92563-9101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 03/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F11254 | (02) | CA |