Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A100865 | CA |
Y | 2080P0214X | Pediatric Pulmonologist | A100865 | CA |
NPI | 1447447164 |
---|---|
Provider Name | Mymy Cong Huyen Buu |
First Address | Palo Alto, CA 94304-1523 |
Second Address | Palo Alto, CA 94304-1503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2007 |
Last Update Date | 15/03/2012 |