Basic Information
| Provider Information | |||||||||
| NPI: | 1083751861 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUI | ||||||||
| FirstName: | DUNG | ||||||||
| MiddleName: | V | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25825 VERMONT AVE | ||||||||
| Address2: | |||||||||
| City: | HARBOR CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 907103518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105172940 | ||||||||
| FaxNumber: | 3102575291 | ||||||||
| Practice Location | |||||||||
| Address1: | 25825 VERMONT AVE | ||||||||
| Address2: | DEPT. ORTHOPEDICS/PODIATRY | ||||||||
| City: | HARBOR CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 907103518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3105172870 | ||||||||
| FaxNumber: | 3105174207 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2007 | ||||||||
| LastUpdateDate: | 12/20/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213ES0103X | EL 1619 | CA | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery | 213ES0103X | E4737 | CA | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery |
No ID Information.