Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | G72513 | CA |
Y | 207RG0100X | Gastroenterologist | G72513 | CA |
N | 208200000X | Surgeon | G72513 | CA |
N | 208600000X | Surgeon | G72513 | CA |
NPI | 1841218880 |
---|---|
Provider Name | Steven-Huy Bui Han |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 30/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G725130 | (05) | CA |
G45533 | (02) | CA |