Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E4737 | CA |
N | 213ES0103X | Foot & Ankle Surgery | EL 1619 | CA |
NPI | 1083751861 |
---|---|
Provider Name | Dr. Dung V Bui |
First Address | Harbor City, CA 90710-3518 |
Second Address | Harbor City, CA 90710-3518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 20/12/2021 |